After Nurse Ratched causes Billy to commit suicide, McMurphy tries to kill Ratched. This causes Ratched to recommend that the hospital lobotomize McMurphy, which they do. McMurphy's friend then smothers him, feeling that McMurphy is already dead and the husk of his body is just an insult to his memory. This part of the story is controversial and is ultimately the central protest of the author's message. He is saying that mental institutions need to treat their patients like people, not take the soul from them.
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