A groundbreaking decision by the Atlanta-based federal appeals court will allow cruise ship companies to be sued for medical malpractice.

Monday’s ruling by a panel of the U.S. Court of Appeals for the Eleventh Circuit discards a long-standing rule embodied in a 1988 decision of a neighboring circuit and adopted by other courts. The Eleventh Circuit panel said changes in legal norms, the development of a complex cruise ship industry and advances in communications technology since 1988 mean cruise lines should not be immune from suit over allegations of negligence by ship doctors and nurses.

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