In part IV, after the fishing trip, the Big Nurse tries to persuade everyone that McMurphy wasn't a good guy like everyone thought he was. She told them to think about why would McMurphy get himself place in this nuthouse and waste his time doing all these things for them. Everyone was pretty much persuade except for Billy and Chief Broomden until McMurphy told Billy to spend $10 on Candy and give him another $10. Then he told Chief Broomden to lift a couple of boxes to make to it was heavy enough so that he can make bets with other patients and be sure to win. All of his work made everyone miss trust him.
No matter how intelligent McMurphy was, his temper still draws him down. When he saw that one out of the three black boys tries to force George into using soap and towel, McMurphy stood up for him and fought with the black boy. Chief Broomden also help fought back and therefore they were brought up to Disturbed. This made the other patients begin to believe and trust in him again but he himself was being punish. Chief Broomden was release from Disturbed before McMurphy because he obey while McMurphy continue to go against the Big Nurse. Up there, he was being treated with electronic device but he was still himself. In fact, he got much bigger once he was release from there.
The patients in the nuthouse try to plan his escape but McMurphy disagree thinking of how it would be the same day where Candy was going to sneak in and meet up with Billy. He didn't want to disappoint Billy at all so they set the plan aside. That night, he went through the filing cabinets, the drugs, and pretty much explore the hospital such as the Big Nurse office. When the next day came, instead of him escaping, Mr. Turkle escape with Sandy while he stayed back and took the blame for Billy's act of committing suicide and the act of holding a party inside the hospital.
He was then taken in for treatment. He didn't just sit back and allow the Big Nurse to do whatever they want. He fought and fought with the staff that even the Big Nurse was injured. Unfortunately, he still lost and was force to receive an operation which change him. Most of the people who were left from the fishing trip had left the hospital. Some decided that it was time to leave while others were being move to other mental hospitals. Even the doctor resign. There were only three left and when Chief Broomden find that he couldn't support McMurphy anymore in any ways, he decided to escape. He left the hospital successfully while McMurphy stayed in the nuthouse helplessly.
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