- Chief's hallucinations, though at times fantastic and hard to follow, they serve a very literal manifestation of the things he and the other patients are feeling. It allows for an engaging and explanation of what the characters feel that we wouldn't get without it. Chief says something on the way to the fishing trip that explains this: "Maybe the guys weren't able to see it either, just feel the pressures of the different beams and frequencies coming from all directions, working to push and bend you one way or another, feel the Combine at work - but I was to see it" (Kesey 205). Even Chief is aware of his ability to truly see the forces at work.
- Unlike in The Great Gatsby, McMurphy's death was not the death of the ideas he represented. McMurphy was simply a martyr who had to die to further his cause and help the other patients. In the end, it was clear that the only way that he could truly defeat the nurse was to force her to lobotomize him. His death made it clear that Nurse Ratched was unable to handle him, and he inspired the others to change.
- The fog was all of the various forces that impeded on the characters' reality and kept them weak. Chief was often engrossed in the fog when he was asleep or experiencing harsh hallucinations. McMurp4,hy was the only one who was able to pull them out of this fog. He helped them to break free from this massive haze that clouded their minds and kept them docile and complacent.
- I think that Kesey wanted to make a statement about dichotomies such as this and emphasize the more probable presence of grey areas. He avoided creating an absolute hero and villain because it makes the reader realize that not all conflicts are a struggle between the arbitrary good and evil but neutral forces that simply want some neutral outcome. This aversion to dichotomies is also displayed through the seamless changes from reality to hallucination that keeps that reader from ever knowing what it truly real. However, if analyzed, you realize that every event has aspects of both reality and fantasy. It's all grey areas.