I've been noticing this more and more, there's an insistence that pointed economic or environmental criticisms of some consumption habit, usually almost exclusively partaken by the upper middle class and wealthier people, must actually secretly be a purely cultural critique. I'm sure these guys work for Exxon or some shit, lmao.
Cruise ships are disease factories and lack onboard hospital resources, so if you're dying of something you're getting shunted into a local hospital at the next port of call. There's also the inherent increase in demand on the medical system when you dump 5000 drunk people into a local population, many of whom will treat the port as a playground.
Also, the aforementioned diseases will spread into the local population after the cruise ship leaves.
Alright, thanks for informing me!