Unmet needs for medical and social services are present in all socioeconomi
c strata, but workers and poor people suffer most. Satisfaction of the need
s of these groups could help to narrow the differences in health and surviv
al between social classes. As needs for services change with the historical
period, age, and changing attitudes to help-seeking in younger generations
, we require cohort studies of needs measured directly in random samples of
the population. Cohort analyses could form the basis for future plans to p
rovide services equitably.