SAN DIEGO (FOX 5/KUSI) — Tens of thousands of healthcare workers with Kaiser Permanente are set to begin a five-day strike Tuesday morning.

That includes more than 3,000 workers in the San Diego region who say they are fighting for better pay and staffing levels.

Kaiser and United Nurses Association of California/Union of Healthcare Professionals are expecting that more than 40,000 workers could strike across California and also in Hawaii and Oregon.

"It has come to this. It’s not our goal to have obviously a strike, but is our way of saying enough is enough," said Nikki Avey, Labor and Delivery Registered Nurse and also president of the San Diego affiliate of UNAC/UHCP.

UNAC/UHCP represents registered nurses, pharmacists, midwives, physician assistants and other specialty healthcare p

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