That's eliding over the value judgment being made, which is at the core of calling it an 'augment'—that there is a "better-ness" that inheres in an individual having more muscle power, reaction time or memory.
Stepping away from Trek's humanistic utopian vision for a second, real-life transhumanism has failed to grapple with the fact that valuation itself is an object to be manipulated, which means that in real life you're more likely to get people who, assuming neural hacking exists in a version of our capitalist society, just boost their serotonin levels and eradicate anxiety reactions or feeling sad than any other more externality-focused (and probably more expensive) adjustments. In this way, any recreational narcotic use is an "augment."
https://books.google.ca/books?id=r2C...page&q&f=falseand the whole notion of "ableism" is one of those BS made up words that denies objective reality.