Abstract
‘Will you still need me, will you still feed me, when I’m 64?’ Lennon and McCartney wrote this line in 1967. Average life expectancy at birth for a man in England was 68, but it is now 75 years and rising at the rate of 2 months every year. The rise in the oldest old has been even more dramatic amongst very old people and is best exemplified by the number of people reaching 100 years of age. In the UK, it is the custom for the Queen to send these people a congratulatory telegram (Table 1). The Queen now sends a card by express mail as the telegram service no longer exists. How long before she just sends an e-mail?

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