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In a startling move that has sent shockwaves through the healthcare community, Montefiore Hospital in New York City has laid off 12 nurses, replacing them with AI-driven software. This decision, announced on 11 July 2026, raises serious questions about the impact of technology on patient care and the future of nursing. Veteran nurse Marilyn Shuler, who has dedicated nearly four decades to the profession, is among those affected, and she is voicing her concerns alongside her colleagues.
Unprecedented Layoffs Amid Technological Advancements
Marilyn Shuler, a seasoned utilisation review nurse, has been a cornerstone of Montefiore Hospital for 39 years, expertly navigating the complexities of patient care and insurance communications. Her recent layoff, along with 11 other nurses, marks a significant shift in the hospital’s approach to staffing and technology. The New York State Nurses Association (NYSNA), which represents these nurses, has condemned the move as a breach of trust and contractual obligations.
“I’ve always, always taken so much pride in the organisation that I’ve worked for all these years, and just to be treated this way,” Shuler lamented. “It’s disrespectful, and it’s very disheartening, and my colleagues feel the same way as well.” This sentiment reflects a growing anxiety among nurses regarding the encroachment of AI in their field.
The Union’s Stance: Protecting Nurses and Patients
National Nurses United (NNU), the parent organisation of NYSNA, is sounding the alarm over the widespread adoption of AI in healthcare settings. The NNU has actively campaigned for an AI bill of rights, aiming to protect both nurses and patients from unregulated technological interventions. Jamie Brown, NNU’s president and a registered nurse, expressed concern over the potential dangers of untested AI systems, stating, “Nurses know from experience that hospital employers will find any opportunity to cut costs and cut corners on patient care and nurse staffing.”
The layoffs at Montefiore follow a significant nurses’ strike earlier in January 2026, during which new union contracts were negotiated, featuring explicit protections against the use of AI in replacing nursing roles. Shaiju Kalathil, a fellow nurse and union executive committee member, has been vocal about the implications of these layoffs. “We are outraged about these layoffs because these dedicated nurses are being replaced by AI,” Kalathil asserted. “This is a violation of the contract that we recently won by going on strike. It should also concern every practitioner and patient who cares about the future of healthcare and the quality of care they receive.”
Concerns Over AI in Patient Care
The introduction of AI in healthcare, while promising efficiency, poses significant risks when it comes to nuanced patient care. Shuler pointed out that her role often involves complex decision-making and communication that AI systems cannot replicate. “AI should be a tool used in conjunction with the clinical expert, not to replace,” she argued. “We’re not against technology. There are several advances in healthcare utilizing technology. The issue is with new tech without evidence.”
Despite the uproar, Montefiore Hospital has refrained from addressing the specifics of the layoffs. In a statement, Joe Solmonese, the hospital’s senior vice-president for government relations and strategic communications, insisted that the technology being implemented is part of a nonclinical programme aimed at enhancing paperwork efficiency. “We are always investing in new technology to ensure the best care and outcomes for our patients and will continue to do so for the betterment of the people we serve,” he stated.
Why it Matters
The decision by Montefiore Hospital to replace experienced nurses with AI systems highlights a critical juncture in the healthcare industry. As technology continues to evolve, the risk of undermining the human touch in patient care grows ever more pronounced. This situation serves as a wake-up call not only for healthcare providers but also for patients who rely on compassionate, knowledgeable care. The conversation surrounding the integration of AI in medical settings must prioritise patient welfare and the invaluable expertise of nursing professionals to ensure that quality care remains at the forefront of healthcare delivery.