Getting left behind has its challenges no doubt. On a typical Caribbean cruise out of the U.S. for instance, chances are the ship is heading for another port on another island, likely a different country. You may not have your passport with you, if you brought one at all, since they are not required for Caribbean cruises. Trying to join another cruise ship going back to the U.S. port you departed from is not normally an option since they are closed loop cruises. Most likely you are flying back on your own dime, probably coordinating with the U.S. consulate to overcome any document deficiencies. Not fun or cheap I imagine.
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