ORDER GRANTING IN PART AND DENYING IN PART DEFENDANT’S MOTION TO DISMISS COUNTS I, II, III AND VII OF THE AMENDED COMPLAINT [DE # 53]
THIS CAUSE came before the Court on Defendants’ Motion to Dismiss [DE # 53], filed by Defendant Royal Caribbean Cruises LTD. (“Royal Caribbean”) on November 20, 2006. Having reviewed the Motion [DE # 53], Response [DE # 57], and Reply. [DE # 63] I grant in part and deny in part Defendants’ Motion to Dismiss.
I. Factual Background
The following facts from the Amended Complaint are assumed to be true for purposes of evaluating the Motion to Dismiss. Plaintiff Sonya Hesterly (“Hesterly”), and three of her friends purchased tickets for travel aboard the M/V Radiance of the Seas (“the Radiance”), a Royal Caribbean cruise ship. (Amended Complaint ¶ 15). On January 8, 2006, they began their voyage aboard the Radiance. (Id. at ¶ 16).
On January 9, 2006, Hesterly was walking through one of the ship’s door ways when she tripped and fell on a loosened and pried-up threshold. (Id. at ¶ 19). As a result of the fall Hesterly’s left knee became swollen almost immediately. (Id. at ¶ 28). Hesterly visited the ship’s infirmary where Defendant Kethe Berghall, M.D. (“Dr.Berghall”) examined her knee. (Id. at ¶ 29). Dr. Berghall took x-rays of Hesterly’s knee, and after determining that there was no fracture, attempted to aspirate her knee. (Id. at ¶¶ 30-31). Plaintiff was sent back to her cabin with an ace bandage and was told to stay off of her knee. (Id. at ¶ 34). Upon Hesterley’s return to her cabin, her knee severely worsened. (Id. at ¶ 35). On January 10, 2006, she returned to the ship’s infirmary where she was treated by Defendants Am-ratcal Shau, M.D. (“Dr.Shau”), and (first name unknown) Uate, M.D. (Id. at ¶ 36). The swelling, discoloration, and pain in Hesterly’s left knee persisted and she again returned to the infirmary on January 14, 2006, where she was treated for pain by Dr. Berghall and Dr. Shau, and sent back to her cabin. (Id. at ¶¶ 37-38). Hesterly’s knee pain and discoloration worsened throughout the remainder of her stay on the ship. (Id. at ¶ 39).
On January 15, 2006, an ambulance met Hesterly at the dock in Miami, Florida,
Hesterly has filed a multi-count Complaint asserting jurisdiction based on both admiralty and diversity jurisdiction. In Count I, Plaintiff asserts that Royal Caribbean negligently breached the duty to exercise reasonable care. In Count II, Plaintiff asserts that Royal Caribbean negligently hired and failed to supervise its medical staff. In Count III, Plaintiff asserts that Royal Caribbean was by statute a health care provider, and thus breached the professional standard of care for health care providers. In Count VII, Plaintiff asserts that Royal Caribbean engaged in the unlicensed practice of medicine, and thus is negligent per se under Florida law.
Royal Caribbean has moved to dismiss Counts I, II, III, and VII of Plaintiff’s Amended Complaint on various grounds, set forth below. 1
II. Standard of Review
As the Supreme Court recently held in
Bell Atlantic Corp. v. Twombly,
— U.S. -, -,
The previous standard that there be “no set of facts” before a motion to dismiss is granted has thus been abrogated in favor of one that requires a pleading to be “plausible on its face.”
Id.
at 1968 (discussing
Conley v. Gibson,
While the Eleventh Circuit has yet to speak on the
Bell Atlantic
standard and the breadth of its holding, other circuits have had the opportunity to apply it.
See In re Ocwen Loan Servicing. LLC Mortgage Servicing Litigation,
No. 063132,
In determining whether to grant a motion to dismiss, the court must accept all the factual allegations in the complaint as true and evaluate all inferences derived from those facts in the light most favorable to the plaintiff.
Hoffend v. Villa,
III. Analysis
In support of its Motion to Dismiss, Royal Caribbean argues four points. With regard to Count I. Royal Caribbean argues that Hesterly alleges the incorrect standard of care. With regard to Count II, Royal Caribbean asserts that it does not owe the duty to supervise shipboard physicians, and further that Hesterly impermis-sibly seeks to hold Royal Caribbean vicariously liable for the medical malpractice of its ship’s doctors. With respect to Count III, Royal Caribbean argues that it is not a medical care provider and thus cannot be held liable for the negligence of its ship’s doctors. Finally, with regard to Count VII, Royal Caribbean argues that Hesterly’s allegation of negligence per se under Florida law must fail because the claims available to Plaintiff arise exclusively from the general maritime law. I will beginning by determining the applicable law, and will address each argument in turn.
A. Applicable Law
The analysis of Royal Caribbean’s Motion to Dismiss is governed by federal admiralty law because this claim involves maritime torts. See
Jackson v. Carnival Cruise Lines, Inc.,
B. Count I: Negligence
In Count I. Hesterly alleges:
Defendant Royal Caribbean Cruise Lines LTD., at all time material hereto, owed the plaintiff a duty, as a faire-paying passenger, to transport the Plaintiff to her destination while exercising a duty of reasonable care under the circumstances and due diligence for the Plaintiffs safety. (Am.Compl^ 53).
Further, Hesterly alleges:
Defendant further owed a duty to warn of all known dangers and all dangers of which Defendant reasonably should have known. (Am.Compl^ 54)
In its Motion to Dismiss, Royal Caribbean argues that in Count I of the Complaint Hesterly alleges the improper standard of care. In response, Hesterly argues that the correct standard is set out within Count I.
As a preliminary matter, I note that Hesterly does not provide any legal authority in support of her allegation that Royal Caribbean owed the additional obligations of “due diligence for plaintiffs safety” and “a duty to warn of all dangers.” Furthermore, “it is a settled principle ... that a shipowner owes the duty of exercising reasonable care to those lawfully aboard the vessel who are not members of the crew.”
Kermarec v. Compagnie Generale Transatlantique,
Accordingly, to the extent that Plaintiff alleges that the Defendant owed Plaintiff a duty of “due diligence for the Plaintiffs safety” and “a duty to warn of all dangers,” dismissal is warranted.
See, e.g., Stires v. Carnival Corporation,
C. Count II: Negligent Hiring and Failure to Supervise
Royal Caribbean argues that Hesterly’s Amended Complaint contains an allegation of negligent supervision against Royal Caribbean, and that no such duty exists under the general maritime law. Moreover, Royal Caribbean argues that in Count II of the Amended Complaint, Hesterly seeks to impermissibly hold the cruise line vicariously liable for the negligent acts of its medical staff. In response,
Under maritime law, the majority rule espoused by an impressive number of federal courts and courts of appeal in many jurisdictions “establishes that a cruise line cannot be vicariously liable for the negligence of its ship’s doctor in the care and treatment of passengers.”
2
See also Walsh v. NCL (Bahamas) Ltd.,
Furthermore, “[t]he justifications for this rule are the cruise line’s lack of control over the doctor-patient relationship and the cruise line’s failure to possess the expertise in supervising the doctor in his practice of medicine.”
Walsh,
As correctly pointed out by Royal Caribbean, Hesterly improperly alleges that Royal Caribbean had a duty to supervise its shipboard medical staff. Specifically, Hesterly pleads that Royal Caribbean “owed a duty to Plaintiff and passengers aboard the M/V Radiance of the Seas to properly supervise the physicians it placed on board, employed, [or] invited ----” (Amended Compl. ¶ 62). As stated above, “a shipping company ... does not possess the expertise necessary to supervise a physician or surgeon carried on board a ship as a convenience to passengers.”
Amdur,
Furthermore, no cause of action exists to the extent that Hesterly alleges that “[t]he errors in judgement and/or negligence in treatment of a ship’s surgeon, ship’s doctor, or ship’s physician are imputed to the shipowner .... ” (Am. ComplY 64). “[A] ship owner cannot be responsible for the negligence of its ship doctor.”
Doe v. Celebrity Cruises,
D. Count III: Medical Malpractice as to Defendant Royal Caribbean
In its Motion to Dismiss, Royal Caribbean argues that it is not a medical care provider and thus cannot be held vicariously liable for the alleged medical malpractice of its shipboard doctors. In response, Hesterly argues that whether Royal Caribbean is a medical care provider within the meaning of Fla. Stat. § 766.202(4) is a question of fact which cannot be resolved at the Motion to Dismiss stage.
First, I note that there is no requirement either under the general maritime law or statute for a vessel to carry a doctor.
See generally Walsh,
466 F. Supp 2d at 1273 (finding that a carrier “has no legal duty under the established law of
Barbetta
to provide [passengers] with medical services.”);
Kornberg v. Carnival Cruise Lines, Inc.,
In an attempt to characterize Royal Caribbean as a medical care provider Hesterly cites Fla. Stat. § 766.202(4), which states in relevant part:
“Health care provider” means any hospital, ambulatory surgical center, or mobile surgical facility; ... a blood bank; a plasma center; and industrial clinic; a renal dialysis facility; or a professional association or partnership, corporation, joint venture, or other association for professional activity by health care providers.
Fla. Stat. § 766.202(4). As such, Hesterly’s argument that Royal Caribbean is as a medical care provider is clearly without merit. A cruise line is not a “... corporation, joint venture, or other association for professional activity by health care providers.” Fla. Stat. § 766.202(4). Further, based upon the above cited case law and the long established maritime principal that a carrier does not have a duty to furnish a doctor for its passengers’ use. I find that Royal Caribbean is not a health care provider and thus Fla. Stat. § 766.202(4) is inapplicable. 4
Moreover, review of the Amended Complaint shows that Count III restates the allegation that “[t]he errors in judgement and/or negligence in treatment performed by Defendants BERGHALL, SHAU, and UATE in regard to Plaintiff in their capacities as ship’s surgeons, ship’s doctors, or ship’s physicians are therefore imputed to Defendant, Royal Caribbean .... ” (Am. Comply 86). This allegation was previously dismissed as contrary to the general maritime law which does not provide a cause of action against a cruise line for the alleged negligence of its shipboard physicians. As such, Count III fails to state a cause of action and is dismissed with prejudice.
E. Count VII: Negligence Per Se in the Unlicensed Practice of Medicine
In its Motion to Dismiss, Royal Caribbean argues that Hesterly has impermissibly alleged negligence
per se
for violation of Chapter 458 of the Florida Statutes because the claims available to Plaintiff arise exclusively from the general maritime law.
5
In response, Hesterly ar
In the present case, the analysis of available claims is governed by the general maritime law because this case involves alleged torts which occurred upon navigable waters.
See Everett v. Carnival Cruise Lines,
As previously stated, “there are federal decisions and established rules of law that directly address the liability of a ship owner for the alleged negligence of a ship’s physician.”
Carlisle,
Accordingly, Hesterly’s argument is unavailing. First, as correctly asserted by Royal Caribbean, requiring cruise lines to staff their ships with Florida licensed physicians materially prejudices the characteristic features of the above stated maritime law. Specifically, Royal Caribbean argues:
“During any one voyage a cruise ship may call upon several United States as well as foreign ports. Requiring the cruise line to staff its ships with Florida licensed physicians will open the door to requiring the same ship to carry physicians licensed in California, Louisiana, Maryland, Massachusetts ... and any other state which the vessel may call on during that voyage. This is a far cry from the general maritime law obligation stated by this Court in Jackson which requires only inquiry into the physician’s fitness ... [to determine whether the ship owner’s duty is fulfilled].”
Second, neither of the statutes cited by Hesterly support the argument for which Hesterly cites them. Both statutes concern requirements a physician must meet to obtain a Florida medical license.
8
These statutes have nothing to do with the hiring or contracting with physicians who serve on a cruise ship. As such, these statutes do not call upon Royal Caribbean, a cruise line who contracts with physicians for the convenience of its passengers to take precautions to protect a class of persons. Lastly, like the court in
Barbetta,
I find no “case support nor statutory support for the argument that a passenger ship which serves-among others-American passengers must, if it employs a doctor, employ one who is qualified to practice medicine in the United States.”
Barbetta,
IV. Conclusion
For the above reasons,
It is hereby ORDERED AND ADJUDGED that:
1)Royal Caribbean’s Motion to Dismiss is GRANTED IN PART, DENIED IN PART [DE # 53].
2) Royal Caribbean’s Motion to Dismiss Count I of the Complaint is DENIED insofar as plaintiff has alleged the correct standard of care, and GRANTED only to the extent that Plaintiff has alleged a duty of “due diligence for plaintiffs safety” and “a duty to warn of all dangers.”
3) Royal Caribbean’s Motion to Dismiss Count II of the Complaint is GRANTED only to the extent that Count II pleads that Royal Caribbean had an affirmative duty to supervise its shipboard physicians and that Royal Caribbean is liable for the negligence of its shipboard physicians.
4) Royal Caribbean’s Motion to Dismiss Count III is GRANTED with prejudice.
5) Royal Caribbean’s Motion to Dismiss Count VII is GRANTED with prejudice.
Notes
. Royal Caribbean moved to dismiss Hesterly's Amended Complaint but failed to state on what grounds. For purposes of evaluating this Motion, I will assume that Royal Caribbean has moved for dismissal pursuant to FRCP 12(b)(6).
. I recognize that there is a minority view which holds that "[a] ship's doctor is an agent of the cruise line whose negligence should be imputed to the cruise line."
Carlisle v. Carnival Corp.,
. "This duty is sufficiently fulfilled when the physician’s fitness is diligently inquired into; proper evidence of his treatment does not prove that he was incompetent or that the company was negligent in hiring him.”
Jackson v. Carnival Cruise Lines, Inc.,
. Even if I had found Fla. Stat. § 766.202(4) to be applicable, any cause of action arising under this statute would run counter to maritime case law, which states that a shipping company is not in the business of providing medical services to passengers, and as such could not provide a basis for a cause of action.
See Coastal Fuels Mktg., Inc.,
. Although Plaintiff's Amended Complaint states violations of Chapter “358'' we assume, for purposes of evaluating Royal Caribbean's Motion, that this is merely a typographical error as Chapter 458 governs the regulation
. Under Florida law, negligence
per se
is the violation of a statute which establishes a duty upon a party to take precautions to protect a particular class of persons from a particular injury or type of injury,
de Jesus v. Seaboard Coast Line R.R.,
. Neither Fla. Stat. § 358.11(6) or Fla. Stat. § 358.320(1) exist in the Florida Statutory Code. This Court assumes that Plaintiff intended to cite Fla. Stat. § 458.311(6) and Fla. Stat. § 458.320(1).
. Florida statute § 458.311(6) states the following: "[e]ach applicant who meets the requirements of this chapter shall be licensed as a physician, with rights as defined by law.” Florida statute § 458.320(1) states in relevant part: "[a]s a condition of licensing and maintaining an active license ... an applicant must by one of the following methods demonstrate to the satisfaction of the board and the department financial responsibility to pay claims and costs ancillary thereto arising out of the rendering of, or the failure to render, medical care or services .... ”
