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Cruise Ship Operator Not Insulated from Responsibility for Health Care Provider

By Janice G. Inman
February 28, 2015

Breaking with longstanding precedent, the U.S. Court of Appeals for the Eleventh Circuit has declined to follow the Fifth Circuit's decision in Barbetta v. S/S Bermuda Star, 848 F.2d 1364 (5th Cir. 1988), concluding after much analysis that previous case law holding cruise ship operators blameless for the negligence of their onboard medical personnel is based on outdated norms. This decision may have far-reaching consequences for shipboard medical malpractice claimants and their representatives.

The case of Franza v. Royal Caribbean Cruises, LTD, 2014 U.S. App. LEXIS 21375 (11th Cir., 11/10/14), involved an elderly man who was injured when he slipped and fell in Bermuda near the ship on which he was traveling. Unconscious, the man was carried on-board the ship where he was seen by the ship's nurse. She allegedly did almost nothing to treat him, and released him before he was seen by the doctor. The doctor saw the injured passenger four hours after he sustained his injury, but the doctor too allegedly failed to render adequate treatment. The passenger died of his injuries a week later.

The deceased's daughter, Patricia Franza, brought suit in the U.S. District Court for the Southern District of Florida under 28 U.S.C. ' 1333 and the general maritime law against the cruise ship's operator, Royal Caribbean, seeking damages on the theories of respondeat superior (otherwise known as actual agency ' i.e., that the doctor and nurse were employees of the cruise ship line and acting on its behalf) or of apparent agency (i.e., that the cruise line implied that the doctor and nurse were working on its behalf and the deceased relied on that manifestation to his detriment). Franza made no individual claims against any of the medical personnel involved.

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