Yes. Those who do not will belong to a permanent underclass.
Understand that this is actually going on right now in the form of supplements, diet and health care. Many don't know because they're not privy to what's going on. People that you deal with daily, who often are in charge of telling you what to do are on a cocktail of amphetamines, steroids, and mood altering meds to give them the upper hand. Hell, there are people using artificial pheromones out here. Yes. These people have the money for such things. Poor people do not.
You can pretty much tell a person's social standing by looking at their teeth and the condition of their skin. You can infer their social position from their hair as well.
I see a lot of Black folks getting dusted by people who are using enhancements. Oh well.