Sarah_Wollaston__head_and_shoulders_Dr Sarah Wollaston is Conservative MP for Totnes, Brixham and the South Ham. Follow Sarah on Twitter.

David Cameron delivers his long awaited EU speech on Friday it must be more
than just an exercise in managing expectations.

It is an opportunity to set out how both
sides could benefit from a more constructive partnership with our Eurozone
neighbours. He must also clarify how and why that relationship needs to change
for us to stay. Unless there is a clear intent to seek consent in a referendum,
it will of course be pointless to expect a genuine negotiation.

are used to being dismissed as ‘mad’, ‘swivel-eyed’, ‘right wing’ or ‘dangerously irresponsible’ by those who fear a public
vote on Europe, but it is time for the sneering to stop.

Like many
of my constituents I am centre right and perfectly capable of recognising the
benefits of the EU. We are tired of the stereotypes as are those from the left
who share a deep unease at the federalist quicksand. The refusal of
Eurosceptics to be dismissed out of hand means that those comfortable with the
status quo can no longer assume that sceptics will be safely
outmanoeuvred.  Instead of applying
insulting labels to those who seek a reappraisal of our place in Europe they
should focus on how Europe could better serve all of its people.

The EU's
democratic deficit and waste are causing misery in countries like Greece. If a
single currency such as the Euro is set up to fail then the right course of
action is not to ignore the problem but to either abandon it or adopt the fiscal
union which they know to be required. We cannot be part of that and so a
renegotiation is inevitable and has nothing to do with British blackmail.

This is
the time for Cameron to set out the Conservative position for those
negotiations. We may not achieve everything we demand and no one doubts the
complexity of the task when in coalition with a Party which would gleefully
accept even greater European integration.

The Fresh
Start project lists proposals for a looser and more constructive relationship;
one which emphasises and seeks to enhance trade. The EU is the world’s largest economy and trading
bloc. It accounts for around 40% of the UK’s total exports of goods and services and is still the most
important market for UK business. The point is that we are equally important to
the EU.

I hope
our place will remain in a reformed Europe, not least because our access to the
single market supports our place as one of the most favoured destinations for
foreign direct investments. But there is a cost; the over regulation of UK
businesses also undermines our efforts to compete with other growing economies.

the trade benefits, does anyone seriously feel that if the current state of our
relationship with Europe had been put to the British people in 1975 we would
have had the same result? Is it all worth the loss of sovereignty, the loss of
control over immigration and the expensive but remote European institutions?
Would voters have approved the vast subsidies to large landowners within the
unreformed CAP or the devastation of fish stocks via the CFP had they realised
what that would cost?

extent to which the EU now controls so many aspects of our daily lives is a
cause of deep unease. In the NHS the working time directive has adversely
impacted on medical training and continuity and we are still unable to
adequately test whether healthcare workers from the EU can speak English.
Sensible health measures to prevent the sale of ultra cheap alcohol will be
held up for years in the European Courts whilst liver deaths continue to rise
because Parliament is impotent to set our own controls without lengthy legal
challenges.  It is not just our own
civil service which can paralyse Government.

is an opportunity to end the cycle of negativity that characterises our
relations within the EU. It is not about wanting to cherry pick the parts that
will bring greatest self interest whilst gaining a competitive edge over other
member States. It is about establishing the principle that Britain does not want
to join a federal union and should not be disadvantaged by the block votes of
those which do.

There is
room for European Nations to have flexibility as was established by the 2001
Laeken Declaration, which allowed for the EU to adjust the division of competencies
and restore tasks to member States. Wouldn't it be better for our European
partners to welcome Britain's enthusiasm to pilot changes which might benefit
all member States?

It would
be in everyone’s
best interests for the British to fall back in love with the EU and for us to
be a constructive partner, but that can only happen if we review the terms and
commit to asking the question at a referendum. If our relationship cannot be
loosened then, with regret, I would vote to leave.

Of course
there are more important things to worry about like the cost of living and fuel
prices but these are intimately linked with our European obligations and not
always for the better. It is time to set out how these could be improved by a
looser relationship with the EU based on trade rather than conformity.

If the US
wishes to help us to stay then they would do better to persuade the EU to take
that seriously than lecture us not to ask the question.

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