Cameron's EU strategy puts party interests before the national interest

A pledge to hold an in/out referendum will appease Tory MPs, but it will not deliver for Britain.

This week the curtain rises on the new Westminster year - and already speculation about the Prime Minister’s much delayed speech on Europe has begun. But the fact 2013 is earmarked to begin with such a speech reveals more about the Prime Minister’s weakness at home than his agenda abroad.

Both the timing and content of this speech have little to do with policy and everything to do with politics. The truth is that David Cameron didn’t give the speech in 2012 because he didn't know what to say. To deliver for the country the speech would need to be about how Britain plans to lead the reshaping of post-crisis Europe. Yet for the speech to deliver for his own party, only one line will really matter... and that is whether or not David Cameron commits to an in/out referendum.

It is this tension that has left the Tory leader stranded speechless for the past year between the party interest and the national interest. If, for reasons of his party's divisions and weakness in the polls, he succumbs to calls in the coming days for an in/out referendum, he will have to answer questions not just about his political judgement, but also about his political priorities. Of course the Prime Minister may hope that such an in/out referendum announcement can help convince UKIP voters to return to the Conservative party. But instead he should be asking himself: is Europe really as much of a priority in the public's mind for this new year as it is for him or his party?

And even if he thinks it is: is an in/out referendum really the biggest issue we have to face in Europe today? My answer to both would be no. Why?

First, British business leaders are already nervous, but this could turn to real fear if an under pressure Prime Minister now announces an in/out referendum and the perception takes hold that many Conservative MPs - including some cabinet ministers - are simply awaiting exit. If the government disagrees with this they should publish, along with David Cameron's speech, all the advice to ministers from BIS and the Treasury about the impact of such an announcement on UK business and inward investment prospects.

Announcing an in/out referendum halfway through this parliament to take place more than halfway through the next, given the Conservatives' hostility towards Europe, could risk up to seven years of economic uncertainty, threatening vital investment and effectively playing Roulette with the country's economic future. Indeed, even his own Foreign Secretary William Hague has told the House of Commons that "It would create additional economic uncertainty in this country at a difficult economic time.” The Prime Minster himself has made much in recent days of his ambition to secure an EU-US trade deal during the UK's G8 Presidency. It's a laudable economic goal, but he seems less keen to recognise that to achieve it relies entirely on British membership of Europe. A Britain outside Europe would be unable to even aspire to such a deal.

Second, focusing on an in/out referendum now actually risks the UK missing the best chance in a generation to reform Europe so that it better serves our interests and meets our expectations. Simply presenting a shopping list of repatriations - backed by the threat of exit – will not deliver for Britain and will undermine our ability to shape and lead the broader project of EU reform.

If he disagrees, the Prime Minister should publish alongside his speech the advice to FCO ministers about what impact this approach would have on our influence in Europe at this crucial time. Labour takes a different view. We are clear that any future decision on a referendum should be based on changes in Europe, not movements in the polls.

While the Prime Minister is right to recognise that Europe, and our position within it, is changing, he is wrong to imply that these changes inevitably threaten our interests. It is still unclear how these changes will affect Britain’s relationship with the EU, or indeed the nature of our membership.

That is why the priority must be for Britain to use the coming months and years to shape and lead this process of change by pursuing an agenda of wide ranging reforms and not simply narrow repatriation. Britain’s real interests lie in the EU as a whole being reformed to make it fit for purpose and better placed to compete in the new global race. But our chance of succeeding in this task is increased if it is positioned as right for all European countries, not just the UK. Subsidiarity within the EU is not a new idea, but an old one worth focusing on anew. At its inception the EU was designed to accommodate varying levels of integration and Britain has always benefited from this. If however, Britain were to open the door to an a la carte EU, it could be us that suffer as other member states demand reforms that undermine the single market.

Institutional flexibility and not unilateral national repatriations is what will best protect British interests within a reformed EU. In the past the case for the EU was based on delivering peace and prosperity. Today these are the foundations on which we must build a reformed Europe that effectively amplifies the power of each of its members.

Labour is clear that Britain's future lies within the European Union. But we also recognise that Europe today needs a reform agenda that prioritises growth, strengthens the single market, pools resources in defence effectively, promotes free trade deals regionally and globally, and develops systems to tackle climate change, cross border terror and crime.

Few would deny that David Cameron’s speech comes at a crucial time, but sadly it seems to be being made for all the wrong reasons. It simply won't have been worth the wait if Cameron's internal weakness results in a speech for his backbenchers instead of one for his country.

David Cameron speaks during a press conference at the EU headquarters on December 14, 2012 in Brussels. Photograph: Getty Images.
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A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear