Medical Malpractice on the High Seas: Do Cruise Passengers Have Any Rights?

CBC News in Canada published a story this week about cruise passenger Bernie Hamilton, age 66, who died following a Holland America Line ("HAL") cruise due to what sounds like a series of errors by the ship's medical personnel.  The article is entitled "Cruise Death Prompts Warning on Ships' Medical Care."  

I have heard these stories time after time over the years.   A couple excited about a dream vacation.  The husband experiences medical issues during the cruise which a competent doctor ashore would easily handle.  But due to blunders by the cruise ship medical team, the wife returns home alone to face the cruise line's denials of responsibility for the suffering and death.

In Bernie Hamilton's case, you can read about the ship doctor's misdiagnosis by concluding that Mr. Hamilton had just a common cold or perhaps asthma which led to a prescription of Ventolin which accelerates a patient's heart rate.  You can read that after Mr. Hamilton collapsed on Holland America Line - Cruise Ship Medical Carethe floor of the cabin, his wife Heather had to witness the spectacle of the medical personnel trying to decipher the instructions for the automatic defibrillator as precious minutes ticked away on her husband's life.  

After the ship medical team struggled to insert an intravenous line and intubation tube and finally "stabilized" Mr. Hamilton, the ship put Mr. Hamilton ashore in Spain where the shore-side doctors declared him brain dead.

Ms. Hamilton received no apologies from HAL.  The cruise line is quoted in the article saying that they "believe the care provided to Mr. Hamilton was appropriate."  All that Ms. Hamilton received from HAL was a bill for $2,000.

The article mentions other similar stories by members of the non-profit International Cruise Victims organization.   Also quoted is Miami lawyer, and my friend, Phil Gerson who is quoted saying: "They advertise that they do have a medical clinic on board . . . and they actually sell those services to their passengers.  But they don't tell them … that they have no legal responsibility for the carelessness of the medical personnel."

Last year, I wrote an article "If the Ship Doctor Kills You, Too Bad" which explains the dangers provided by the limited nature of cruise ship medical care and the difficulty seeking compensation when malpractice of the ship doctor or nurses harms your family. 

Yes, doctors and nurses make mistakes, but a cruise ship is about the only place where a doctor can negligently kill your loved one and there is no accountability. 

As I mentioned last year, as long as cruise lines are not liable for bad medical care, there is no financial incentive for the ships to invest in training and hiring more qualified and experienced doctors and nurses.

There is no economic or moral justification for such an inequitable situation. The cruise industry collects over $35 billion dollars a year and pays no Federal income taxes by registering their cruise ships in foreign countries.  As long as travel agents, cruise fans and the public are indifferent to these type of stories, in the future other families will experience the horror of dream vacations going terribly wrong.

 

Photo credit:   CBC News / Heather Hamilton

Violence Strikes Puerto Vallarta Jewelry Store While HAL Cruise Ship In Port

There has been a very public debate about the safety of cruise passengers while in Mexican ports.  In June of this year, Princess Cruises pulled out of Puerto Vallarta (and Mazatlan) stating "as the safety and security of our passengers and crew is our highest priority, and based on the continued violence in these areas, we’ve made the decision to cancel our calls to Puerto Vallarta and Mazatlan.”

Puerto Vallarta was not pleased and responded with an accusation that the crime rate was actually higher on Princess' cruise ships  than in this Mexican port. 

Last month Princess announced that it would add these two ports back to its itinerary next year but Puerto Vallarta Mexico Crimewill monitor the violence in Mexico to determine if it would continue to serve the two ports.

Well now we have another violent crime which struck pretty close to apparently unsuspecting Holland America Line cruise passengers as they visited a shopping square near the cruise terminal.  (HAL and Princess are both owned By Carnival).

A Cruise Law News reader brought to my attention that a newspaper in Mexico reports that when a Holland America cruise ship was in port in Puerto Vallarta earlier this month, six armed criminals robbed a jewelry store right across from the ship pier.

The November 1, 2011 article states that six heavily armed men robbed a jewelry store, located at the exclusive Plaza Galleries and got away with millions of dollars of diamonds.

The robbery turned violent as the gunmen repeatedly beat the store manager in the head with a pistol.

The incident occurred around 1:00 in the afternoon while cruise passengers from the HAL cruise ship were in the shopping plaza where the jewelry store is located.  The news article reports "several tourists from Holland America cruise ship, docked at the Maritime Terminal, located across the street, were in the square."

There is no indication that any of the HAL cruise passengers were in danger or even knew of the robbery.  Nonetheless, it is unsettling that heavily armed banditos can stick up an exclusive jewelry store in a shopping square on a port day across from the terminal and get away scott free. 

I wonder if Princess Cruises or HAL even know that the crime occurred?

 

November 25 2011 Update:  "Radio Silence"

"Cruzi" @CruiseCritic had an interesting comment on this story:  " . . . these days there is more "stuff" going on of concern to tourists right in the tourist zone in PV than ever happened in Mazatlan in the tourist zone.  Difference is almost nothing gets press in English from Puerto Vallarta, and no "incident" chatter on forums permitted.  The city relies on tourism nearly 100%.  I also wonder if Holland America is even aware of what went on.  Probably, because it happened under their noses in a mall frequented heavily by passengers.  I just happened across this article searching for something else that just happened there.  Was anyone on the HA ship in Puerto Vallarta on November 1st?  This group has struck again, more than once, alluding capture, but that's not all that's going on there.  Yet, radio silence."  

Photo credit:  informador.com.mx

HAL's Veendam: 1 Dead, 80 Sick

Multiple news sources are reporting that an U.S passenger died aboard Holland America Line's Veendam cruise ship that arrived in Rio de Janeiro yesterday.

HAL's Veendam is also the same cruise ship on which approximated 80 passengers fell ill, according to the state-run Brazilian news agency, Agencia Brasil.  The agency refers to the cruise passengers as suffering from "gastro-enteritis."  It is unknown whether there is a norovirus outbreak. 

Forensic doctors are investigating the death of the American passenger.  A CNN article reports that the cruise ship doctors told police that the woman was "elderly and suffered from diabetes and hypertension."  (So much for the confidentiality of a patient's medical information.) 

The Veendam left New York 36 days ago for a South America cruise. The Veendam had stopped earlier in the cruise at ports in Chile, Argentina and Uruguay before reaching Rio de Janeiro.

November 23, 2011 Update: 

HAL claims that the death and the illness of some 80 passengers are unrelated.  HAL issued a statement to Noticias de Cruceros that the passenger died due to a heart condition which had nothing to do with the  gastrointestinal ilnesses.  It's amazing how cruise line PR people suddenly become epidemiologists when someone dies on their cruise ship. 

HAL Veendam - Cruise Cruise Norovirus?But a local newspaper in Brazil, Clarin, has the following account (translated):

An American, 61, died of a suspected food poisoning on a luxury cruise ship which arrived in Rio de Janeiro, from Chile, Argentina and Uruguay, in which 86 other passengers had symptoms such as cramps and vomiting, reported Brazilian authorities, in what is thought to be an outbreak of gastroenteritis due to consumption of bad food and poor hygiene.

The Holland America liner MS Veendam, carrying 1259 passengers, arrived in Rio de Janeiro and was quarantined to be subjected to investigations by the Brazilian Federal Police and the National Health Surveillance Agency (ANVISA) .

Tourism Secretary de Janeiro, Ronald Azaro, said that 79 people have contracted some sort of infection on the trip. When the November 6 cruise departed from Valparaiso, Chile, ANVISA received a warning symptoms of some passengers.  He went to Argentina and Uruguay, having started the journey in New York, USA, with stops in Panama and Colombia, according to the Brazilian press.

The official said the Brazilian Federal Police took over the investigation into the death of the American, identified as Dorothy Philips, age 61, occurred on board as the ship was in the Maua Pier in the city of Rio. 

Sources told the Brazilian media crew that the crew issued a red alert three days ago to take care with hygiene and some food. For now, the pool and the library of the cruise were closed. 

According to the NASS report released last month, 27% of cruise ships passing through the Brazilian coast have health problems than those permitted by the rules in Brazil. Among the problems, according to an official report collection are inadequate food and lack of water conditions offered to passengers. 

ANVISA recalled thatpassengers on the same boat, in March this year, experienced gastroenteritis cruising to  Brazil. At least 43 passengers had symptoms in Belem, capital of Amazon state of Pará.

 

Photo credit:  Michael Penn / Juneau Empire 

Tragedy on HAL's Half Moon Cay: A Mother's Perspective

One of the purposes of this blog is to educate the public of dangers of cruising and the legal hurdles passengers face when things go wrong during a cruise.  

One of the first issues I felt compelled to write about when I started this blog over two years ago was the Death On The High Seas Act ("DOHSA").  DOSHA does not permit cruise passengers to recover pain, suffering, grief, or bereavement if a loved one dies outside of the territorial waters of the U.S.  DOSHA provides only limited financial damages, such as lost wages. 

If a child is killed during a cruise or shore excursion due to the cruise line's negligence, there is no recovery at all because the child is not a wage earner.  I wrote about this in my series of the "ten reasons not to cruise" -  Reason No. 5:  If You Are Retired Or A Child, The Cruise Line Considers Your Life Worthless.

Cruise lines love DOSHA.  It eliminates all consequences of their negligence and provides no incentive to act responsibly.  The cruise industry spends millions of dollars lobbying Congress to make certain that DOSHA is not amended to provide reasonable compensation to grieving families.

This weekend, I received the following comments from a Mom who lost her daughter during a  Holland American Line cruise, while on HAL's "private island" Half Moon Cay.          

Holland America Line's "Family Cruise" - Half Moon Cay

"My 3 year-old daughter was killed on Christmas Eve of last year while on a Holland America cruise with her biological father. She drowned in the designated children's swim area of a private island Death On The High Seas Act - Holland America Line -  Cruisein the Bahamas owned by HAL.  This tragedy occurred in plain view of hundreds of people present and right near where a lifeguard SHOULD have been actively on duty.

I would never have considered allowing her on the cruise if I believed for a moment that I was putting her in harm's way.

Imagine what it feels like to receive a phone call on Christmas Day and fully expecting to hear a relative calling with a Christmas greeting.  Instead, you are informed, with no preamble or warning, that your darling daughter is dead.

Holland America has made it perfectly clear to us that they feel they have no responsibility in the matter, and even if they did have any liability, that their interests are fully protected by the Death on the High Seas Act.  Never mind the fact that the children's swim area contained many bright toys to lure children into the water, and deliberately lulls the guests into a false sense of security with signs nearby that say "Paradise -- you'll want to stay forever" (or similar.)  Because the DOHSA does not cover pain and suffering (only loss of a paycheck, and let's face it, my daughter didn't have a steady job), they have informed me that I am entitled to absolutely nothing.

Thanks, Holland America. And a Merry Christmas to you as well.

Be aware of this stance before you go on one of Holland America's "Family Cruises" (one of their employees told me their target market is families for their Christmas Cruises).  Holland America is only too happy to take full advantage of their supposed protection under a law that they themselves have so much as admitted as being archaic.  For some terribly naive reason, I actually had hoped that instead of hiding behind the cover of an inappropriate law to protect themselves from their failures to provide a safe environment for my child, that they would actually be moved to simply do the right thing.  Silly me.

The DOHSA Act was originally passed in 1920 to cover scenarios of a fisherman (read: breadwinner) lost at sea.  The intent of the law was certainly never to cover the loss of a child on a cruise, but the cruise industry is taking full advantage of its existence and has opposed efforts to change this law.

The lesson that Holland America has taught me with their brush-off treatment of my complaint is loud and clear: pain and suffering are worthless.  I can't even bring myself to contemplate what their message communicates with regards to their perceived value of the life of my daughter."


 

Were you on the cruise or at Half Moon Cay at the time of this incident? 

Should DOHSA be amended to provide the same remedies as land based law?

Please leave a comment below . . .

 

For other articles on DOHSA, consider reading:

What Does BP, Al Qaeda and a Cruise Line Have In Common? 

Death On The High Seas Act Protects BP and Cruise Lines at the Grieving Family's Expense

Body of Missing Holland America Line Passenger Found Near Prince Edward Island

HAL Maasdam Cruise Ship Missing Passenger CBC News Canada is reporting that a 75 year-old passenger from the Holland America Line MS Maasdam was reported missing by his wife shortly after 8 AM. yesterday after the HAL cruise ship docked in Charlottetown, Canada.

The Maasdam left from Montreal on Saturday on a seven-day cruise,

The newspaper states that the vessel's crew conducted a shipwide search but could not locate the passenger on the cruise ship. The Canadian Coast Guard searched the cruise ship's route but could not locate the man.

According to the newspaper, a lobster fisherman found a body around 8:30 AM. in the Northumberland Strait near western Prince Edward Island. 

The cruise line confirmed that the body was that of a passenger from the cruise ship, although the Canadian police have not yet confirmed that the body was the missing passenger.   An autopsy has been requested.

If you have information about this latest cruise overboard, please leave a message below.

October 5, 2011 Update:

The CBC News identifies the deceased passenger as William Cureton, age 75, of Port Dover, Ontario.    

Photo credit:  Robert F. Bukaty / AP  (via MSNBC)

Coast Guard Calls Off Search for Missing Passenger, Blake Kepley

Blake Kepley, a Fallbrook High School graduate was last seen between 12 and 1 a.m. on Friday, July 22, 2011. His family reported the 20-year-old missing at about 2:30 p.m. that same day according to the Village News; however, Sign On San Diego reports that the family notified the cruise line as early as 7:00 a.m. Both reports maintain that Holland America waited until 4:00 p.m. before contacting the Coast Guard to report that Kepley possibly went overboard.

The Coast Guard immediately began the search; however, was unsuccessful in locating Kepley and the search was suspended nearly 24 hours later after covering more than 352 miles. Kepley went missing between Sikta and Ketchikan during his Alaskan cruise aboard Holland America’s Oosterdam.

For more information click on NBC’s San Diego News Report:

If you have any information or tips regarding the disappearance of Blake Kepley, e-mail us at jwalker@cruiselaw.com

Video credit: NBC San Diego

Rick Ehlert's Attorney Says: Jokingly Dropping a Cruise Ship Anchor is "Silly," But Not a Crime!

Last November, Cruise Law News (CLN) reported on the drunken cruise ship passenger who reportedly snuck into the control room and dropped anchor while the ship was sailing back to Tampa from Mexico.

Daniel Castillo, Ehlert’s defense attorney now claims that Rick Ehlert admits to being intoxicated and sneaking into the control room to drop the M/S Ryndam’s anchor; however, what his client did was not a crime.

Castillo claims that while his client was certainly acting stupid, Mr. Ehlert did not commit a federal crime. Castillo says that no persons were injured or property damaged as a result of his client’s stupidity. Ehlert admits to being drunk around 5:30 a.m. when he stumbled into the control room and released the anchor while the cruise ship was out at sea.

Ehlert was arrested on felony charges for attempting to “damage, destroy, disable, or wreck a vessel.” However, according to Tampa Bay Online, Castillo stated that his client is only “guilty of felony stupidity.” 

While the charges Ehlert faced could have placed him in jail for 20 years, Castillo reported that prosecutors have told him to expect some form of probationary period for his client.  

Who is to blame? The passenger for getting wankered and pulling a not-so-funny prank? Or the cruise line for continuously pushing alcohol and failing to monitor and/or lock the control room? Should Rick Ehlert be sentenced to more than probation? Should he have to serve time?

Photo credit: Gawker

Holland America Crew Member Killed In Life Boat Mishap

A 29 year old crew member died during a botched life boat training exercise in New Zealand today. 

According to newspapers in New Zealand, the accident occurred when crew members from Holland America Line's Volendam cruise ship were practicing life boats drills.  One of the wires attaching the lifeboat to the cruise ship snapped, throwing the two HAL crew members into the water in Lyttelton Harbor.  One of the crew members was rescued, but the other man who was wearing heavy clothing and boots went under water and did not reappear.  The crew members were reportedly not wearing a life jacket.

HAL has not released the name of the deceased crew member. 

January 9, 2011 Update:

We received a comment (below) from the Medical Officer on the HAL cruise ship, expressing his/her condolences.  We appreciate hearing from cruise line like this.  It shows compassion.  This is the first time in 500 blog articles that a cruise line has posted a comment on our blog following a crew member death or injury. 

A newspaper in New Zealand has a follow up article on the crew member death - "Liner Crew Traumatized by Shipmate's Drowning" - indicating that the cruise ship's 600 crew members were "obviously traumatised by the whole thing . . .  they all know each other pretty well, so they are quite upset."

Three Year Old Child From Holland America Line's Zuiderdam Drowns in Half Moon Cay

A Christmas cruise ended in tragedy when a three year old girl from Holland America Line's Zuiderdam cruise ship reportedly drowned in HAL's private destination Half Moon Cay in the Bahamas.   The incident occurred on the afternoon of Christmas Eve, according to a newspaper in the Bahamas.

Passenger Reported Overboard From Holland America's Rotterdam Cruise Ship

The on line web information portal CruiseJunkie.com is reporting that a passenger may have gone overboard yesterday from the Rotterdam cruise ship.

The report is based on information received from a passenger on the Holland America Line cruise ship. 

Rotterdam Cruise Ship - Overboard - Missing PassengerCruiseJunkie.com is operated by Dr. Ross Klein, a cruise industry expert who has, among other pages, a large web page called "Events At Sea - All The Things That Can Go Wrong On A Cruise."  Dr. Klein reported yesterday:

I have been informed that a passenger jumped from the M/S Rotterdam today and was recovered deceased at about 5 pm local time. The ship will be in Costa Rica tomorrow.  This account has not be confirmed or reported by the media.

in addition to Dr, Klein's site, a comment on the popular on line cruise community CruiseCritic.com mentions the incident under the topic "Man Overboard on Rotterdam???"

 ". . . A "man overboard" was reported to the bridge, just before noon. What was done, then was to chart where the person went overboard and turn the ship around to that area. By 2:00 PM, an airplane came to circle around and look for anything in the water. By 4:00 PM, the plane had spotted something, and the ship headed there. By 5:00 PM, a tender was dropped into the ocean and found what was believed to be the person. Many of us were on deck 3, and as the tender returned to the ship, the Captain asked that all on deck 3 please, out of respect, to leave the deck. I don't know anything else. We will find out soon if we'll miss our port, tomorrow. I don't know if we'll get information about the person. There was an announcement, earlier, for someone in cabin x, to please call the front desk immediately. Tonight is formal night and I don't think anyone wants to dress up."

We previously reported on a HAL handling of an overboard passenger in an article ""Suicide" - One of the Cruise Lines' Favorite Excuses When a Passenger Disappears at Sea."  That case involved passenger Amber Malkuch.  HAL quickly called her disappearance a suicide.  This surprised not only Ms. Malkuch's friends and family, but dumbfounded the Alaskan State Troopers who had yet to review photographs and video, conduct interviews or analyze toxicology reports. 

It will be interesting to see how HAL handles this situation.  By not issuing a press statement, it looks like HAL is trying to keep the incident secret.  

Dr. Klein reports that there have been over 130 cruise overboard in the last 10 years. How many more have not been reported by the cruise industry? 

February 27, 2010 Update:

CruiseJunkiereports: "Around 10 A.M. this morning, while breakfast was going on, one guest, supposedly of cabin 1905, jumped from the outside deck. The jump was apparently witnessed as there was an immediate man overboard call and the ship manouvered quickly and then anchored and a search happened. The ship staff searched for hours, and then about 5 pm, they recovered the man's body. The ship has been under code red for 6 days for norovirus and the staff was already under huge stress." 

CruiseCritic reports that the overboard passenger was a member of the CruiseCritic on line community.
 

 

  

Credits:

Rotterdam cruise ship                 jimg944 Flickr Photostream

"Suicide" - One of the Cruise Lines' Favorite Excuses When a Passenger Disappears at Sea

For the past many years, I have watched cruise lines respond to each disappearance at sea by blaming the passenger.

Selling Dreams of Carefree Vacations

Cruise lines like Carnival and Royal Caribbean spend hundreds of millions of dollars a year to create the illusion of carefree vacation getaways where hard working Americans can relax, let their guard down, and forget the worries of city life. Passenger "disappearances" are inconsistent with the cruise industry’s marketing image which sells tickets.

When a passenger "disappears," there are a number of possible explanations.  Was foul play involved?  Did the passenger act carelessly due to alcohol?  Was the intoxication due to the cruise line's negligence in over-serving the passenger to make the targeted profits for the cruise?  Or was the disappearance due to a plan by the passenger to end his or her life?   

The possibilities are many but the cruise lines' conclusions are few. Cruise ships are quick to attack the passengers’ character and to steer blame away from themselves when a passenger goes overboard.

Merrian Carver - Royal Caribbean Cover Up, Stonewalling, and the Big Lie

When 40 year old Boston resident Merrian Carver "disappeared" from the cruise ship Mercury operated by Royal Caribbean’s subsidiary brand Celebrity Cruises, the cruise line tried its best to cover the incident up. It didn’t report Merrian missing to either the FBI or the Alaskan State Troopers, even though the cabin attendant reported her missing early in the cruise. Merrian’s Dad, insurance executive Ken Carver, began a serious investigation. Royal Caribbean responded by lying to Mr. Carver and disposing of evidence.  Mr. Carver didn’t go away and the story went public.  The The Arizona Republic published an excellently researched and written story.  In response, the cruise line reached into its bag of tricks and pulled out a good excuse: " . . . there is very little a cruise line, a resort or a hotel can do to prevent someone from committing suicide." 

Aside of the speculation fueled by the cruise line's lawyers and PR team, there was no competent evidence whatsoever for Royal Caribbean's self serving announcement to the media. If it was a suicide, why did Royal Caribbean work so hard to cover the incident up and lie to Mr. Carver?  Indeed, there is now an issue whether a crew member was involved in Merrian's death.  

George Smith IV - Attack the Victim

I witnessed the same type of corporate thuggery while representing Jennifer Hagel whose husband George Smith of Greenwich Connecticut disappeared under suspicious circumstances during the couple’s honeymoon cruise on Royal Caribbean’s Brilliance of the Seas. For months the Hagel and Smith families patiently waited for information explaining the circumstances surrounding the disappearance of the healthy and handsome 26 year old man.

But when their frustration forced them to the press for answers, the cruise industry’s response was quick and brutal. Michael Crye, representing the International Council of Cruise Lines ( the predecessor to today’s Cruise Line International Association - "CLIA") told an AP reporter investigating the story " . . . its difficult if someone chooses to do harm to themselves . . ."

Carefully Planned Hit and Run Attacks By Cruise Line PR Departments 

These type of statements are not random or insensitive rants from low level employees. The cruise lines' PR departments carefully craft the announcements and issue them only after being run through their legal departments. The Merrian Carver "suicide" theory was issued by the Royal Caribbean corporate communications director only after being reviewed by the cruise line’s outside legal counsel. When the cruise industry faced embarrassment over Royal Caribbean's mis-handling of George Smith’s death, out trotted Mr. Crye - the vice president of the cruise trade organization and himself a lawyer. Mr. Crye issued the he-did-it-to-himself statement on behalf of the entire cruise industry (CLIA's motto is "one industry - one voice"), without a shred of evidence justifying such a conclusion.

Amber Malkuch - Holland America Lines' Attack Is Business as Usual  

The recent disappearance of Washington resident Amber Malkuch shows that little has changed. Amber was 45 when she sailed on the Holland America Line ("HAL") cruise ship Zaandam. On August 3, 2009, Amber disappeared. The usual protocol when a passenger disappears should be for the FBI or the state law enforcement authorities to board the vessel at the next port and to conduct an investigation. The period of time leading up to the cruise ship's arrival at the next port is critical because the cruise line controls the scene of the disappearance, the witnesses and all of the evidence. Before the authorities can conclude whether the "disappearance" resulted from an accident (due to the ship's negligence, or the passenger's carelessness or intoxication, or a combination of factors), foul play or suicide, they must first review the evidence and interview passengers and crew members.

But on August 4, 2009, before the Alaskan State Troopers concluded their investigation, a member of HAL's PR department and CLIA's PR team, Sally Andrews, announced to the media that Amber probably took her own life. The "suicide" conclusion was picked up by all of the major news outlets and reported prominently on FOX News and other news stations.

This surprised not only Amber’s friends and family, but it dumbfounded the Alaskan State Troopers who had yet to review photographs and video, conduct interviews or analyze toxicology reports. The Anchorage Daily News reported "Troopers Miffed at Cruise Line’s Rush to Judgment." The Seattle Post Intelligencer quoted a representative of the Alaskan State Troopers saying:

We’re the people actually looking into the exact cause of death . . . We’re the ones doing the interviews and looking at the evidence . . . And if we haven’t been able to make a determination, how can the cruise line who isn’t trained?"

Who Do You Trust?  The Alaskan State Troopers or the Cruise Line?

Does Holland America Line care about what the evidence reveals?  In the world of cruise line PR (perception vs. reality), what matters most to the cruise lines seems to be the public’s perception that cruise ships are safe rather than the reality that perhaps they are not.

Determining the cause of passenger overboards is the role of experts - the U.S. Coast Guard, the F.B.I., and other law enforcement authorities - not the cruise lines' PR departments.          

 

Photo credits:

Kendall Carver - photo of Merrian Carver

Kevin Wolf (AP) - photo of Maureen Smith, Michaeil Crye, Jennifer Hagel

Seattle Post Intelligencer - photo of Amber Malkuch