Paul, I have found that MSC does have some different rules when in the Caribbean. Changes were made after the first season when they got feedback from those cruises and all the Americans that they never had in the Med.
Akumal Mexico Reviews
Star Princess 2005, Sun Princess 2005
Caribbean Princess 2006, MSC Lirica 2006 , NCL Pearl 2007, Majesty of the Seas 2008, Carnival Destiny 2008, MSC Lirica 2009, Carnival Valor 2009,Carnival Legend 2010, Carnival Liberty 2010,Carnival Fantsay 2011,Carnival Valor Feb 2012, MSC Poesia Dec 2012, MSC Poesia April 2013