As McMurphy attempts to establish equality between the patients and the head nurse, she clings to her self-proclaimed right to demand power over his charges because of his money, his education, and, ultimately, reason. The patients represent the working class by providing Ratched, the manufacturer, with the “products” from which she profits: their deranged minds. Patients may even be considered products themselves after shock therapy treatments and lobotomies leave them personalityless. The negative effects of the hospital organizational structure are numerous. Men feel worthless, mistreated and manipulated, just like the proletariat who endured appalling working conditions and rarely saw the fruits of their labor during the Industrial Revolution in the United Kingdom and the United States in the late 18th century. century and the beginning of the 19th century (“Industrial Revolution” 630). Perhaps the most striking example of the harmful impact of the hospital environment is the suicide of Billy Bibbit after Nurse Ratched threatens to tell his mother about his night with Candy, the prostitute McMurphy brings into the room (Kesey 302-304). While this event can be interpreted as a simple tragedy between a manipulative nurse and an overworked patient, it can also be interpreted as a representation of the harm that can come from an economy that encourages