BMJ 1995;310:1006 (15 April)
Letters
Needs are never demands
EDITOR,--In the first paragraph of their article in the series on management for doctors John Stuart and colleagues refer to "the multiple demands of an increasingly aging population."1 From this single line one may guess the nature of the article. The phrase is pejorative and redolent of those ideas taken for granted in a selfish political age. The word "demands" is used when the less loaded word "needs" is more truthful; "aging" is used in a condemnatory sense when "old" is appropriate. Let me rewrite the phrase: "the needs of a people with many old among them." This rewritten phrase has an unusual sound to modern ears, but this would not have been so to those of former ages, when language was clear, fine, and active. With one phrase rewritten, the rest of the article will also have to be rewritten, for as it stands it will no longer make . . . [Full text of this article]

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