I doubt everyone is packing an entire Adam smasher inside their body but with how poor most people are i doubt an artificial heart or even lungs in such a smog-filled city are affordable so implants are just for the need like a requirement for a job and such with the want available as part of fashionwear from the middle class to the ultra rich which gets more zany the higher it is.
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Extremely common, most people have atleast a personal link implanted.
It common enough that seeing an unaugmented person make people go shock and awe at the prospect of it.( at least according to one of the game missions).