I could see coinshots/ lurchers being hit with health and safety regulations, such as only being able to use authorised anchors for jumping, rather than coins and metal parts of buildings.
Also, on the subject of Hemalurgy "donations", could Hemalurgic spikes be used be used as Life support/ organ replacement? For example a spike through the heart doesn't kill the recipient, instead changing their physiology so could it possibly fix a heart defect in the process, being used instead of a pacemaker?