Cruise companies, including Carnival Support Services India Private Ltd (CCSI), a subsidiary of Carnival Cruises, are under scrutiny for alleged monopolization of seafarer's occupational medicals. CCSI, claiming to be the largest crewing services office in Mumbai, is reportedly engaging in hiring operations for various well-known cruise lines.

The companies involved in these operations include Carnival Cruise Line, Celebrity Cruises, Celestyal Cruises, Costa Cruises, Cunard Line, Disney Cruise Line, Holland America Line, MSC Cruises, Norwegian Cruise Line, P&O Cruises, Princess Cruises, Royal Caribbean International, Virgin Voyages, and others.

It has been reported that crew members are being coerced into obtaining their occupational medicals exclusively from the doctors enlisted by these cruise companies. Despite all authorized medical centers approved by DG Shipping being considered equal, allegations suggest that a specific selection of doctors is monopolizing the medical examination process. This practice is purportedly tied to receiving marginal bonuses, causing distress among crew members who are denied medicals from other DG-approved centers.

Moreover, concerns have been raised about the limited number of advised medical centers in India, particularly in North India. Candidates are allegedly required to travel significant distances, up to 500 kilometers, for medical examinations, as these companies favor a select few centers while overlooking other certified DG-approved facilities.

This situation has sparked outrage, especially during the pandemic, where seafarers are crucial to maintaining the global supply chain. The dedicated efforts of seafarers, acting as the backbone of the supply chain, are reportedly met with harassment and rude behavior by some cruise companies and organizations. This incident highlights the need for companies to reconsider their behavior towards employees, recognizing the profound impact it can have on their lives and mental well-being.