In your own code, you can use FIRST and REST for lists.
But if you want to program you need to deal with that. Stuff was there before you and has a history. Changing things has a benefit, but also a cost. For a small community like Lisp, constantly rewriting code because some names change is not such a good idea.
Given that we can remember thousands of words in natural languages, a few hundred core words of a programming language is not such a huge hurdle.