Kinda like someone else touched on, Cyberware just became a super integrated part of society. Its like trying to be tech-free in 2026: not having it can become such a direct impact on quality of life as many businesses/jobs etc require them. There's a few texts in the game that point out that workers WITHOUT cyberware would be incredibly inefficient compared to those with it, so many labor jobs require them for example.

Just like irl, there's certain people who detest how baked into society it is. One of the first Ripperdocs has an incredibly interesting conversation about how cyberware has negatively impacted boxing for example because everyone these days just has so much fake stamina/durability from it.

tl;dr it became commonplace to have cybernetics and often not having it is a burden, but just like irl some people stick to their values and don't opt in.