Marilyn Shuler has worked as a utilization review nurse for 39 years at Montefiore hospital in the Bronx in New York City, helping to read patient charts and communicate with insurance companies over coverage.

After nearly four decades in her job, Shuler is one of 12 nurses who were laid off Sunday after being replaced with AI-powered software, according to the New York State Nurses Association (NYSNA), which represents nurses at the hospital.

“I’ve always, always taken so much pride in the organization that I’ve worked for all these years, and just to be treated this way,” Shuler said. “It’s disrespectful, and it’s very disheartening, and my colleagues feel the same way as well.”