Kaiser Permanente nurses picketed in San Francisco and at 21 other facilities across the state Tuesday to voice their displeasure with the health-care giant’s recent layoffs, cuts to youth gender-affirming care and increasing usage of artificial intelligence in patient services.

The California Nurses Association/National Nurses United, which represents around 25,000 Kaiser nurses, organized Tuesday’s statewide demonstrations. The union’s contract with Kaiser runs through Aug. 31, 2026.

“This is a lot of little battles that we've been fighting, sort of piecemeal, and we've decided enough is enough, and we're going to consolidate all these small battles into essentially an upcoming war,” said Sydney Simpson, a registered nurse and quality liaison with Kaiser in San Francisco who goes by

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