Angry Cape Bretoners took to the streets of Sydney, N.S., to protest a pair of controversial decisions from the provincial government.

Protesters had initially planned the Wednesday afternoon rally against Nova Scotia government’s use of federal equalization payments.

Then, on Monday, Premier Stephen McNeil announced the closure of two hospitals in Cape Breton, giving them another reason to protest.

"It's affecting everyone in the whole area,” Brad Nicholson, who attended the rally, told CTV Atlantic. “Cape Bretoners (have) got to stand up for the stuff that we really, really need."

Under the provincial government's plan, the Northside General Hospital in North Sydney, N.S., and New Waterford Consolidated Hospital in New Waterford, N.S. will close and be replaced with two community health centres and long-term care facilities. The Cape Breton Regional Hospital and Glace Bay Hospital will be expanded.

McNeil defended the decision Wednesday, saying that the “status quo was not acceptable.”

“When you have two emergency rooms, one closed for 6,000 hours and the other closed for 4,000 hours, and you can't staff them, they know that we have to do something,” he said.

McNeil said his government’s plan is designed to improve facilities on the island and at the same time attract more doctors to the region, a problem Cape Breton has dealt with for years.

Dr. Craig Stone, an anesthesiologist at Cape Breton Regional Hospital, says he wants to know whether it will mean a reduction in services. “Nobody knows the answer,” he said.

Janet Hazelton, president of the Nova Scotia Nurses’ Union, says she was “surprised and a bit shocked” by the news.

While she’s still waiting to learn more, Hazelton says she’s hoping that the government will not cut nursing jobs.

“Although their jobs may change, their location may change, we expect this government and the health authority to honour what they told us, and that’s there would be no job losses for nurses in this.”

With a report from CTV Atlantic’s Ryan MacDonald