Chapters 26-30 (pages 261-325)

Billy’s end was a tragic one. In some ways he got what he wanted: hooking up with a pretty girl and being included as a friend in that group of guys. However, the shame from his mother that Nurse Ratched threatened was what got to him and caused him to take his own life out of fear and desperation. All I can say is at least Billy’s last night was one for the books and he enjoyed it.

McMurphy went out fighting with a bang and truly got the best of the Big Nurse for a while, especially with the party at the end. In this sense, I would say his end was successful and triumphant. It had a bigger impact on the patients, the ward, and the Nurse than if he had simply escaped and left it all behind. The tragic part of McMurphy’s ending was the lobotomy he was given. Even though the body was still alive afterwards, the real McMurphy was already gone. That’s why I think it was good that Chief finished him off, because he was already gone anyway and his postoperative state would have been a disgrace to the old McMurphy.

In the end Nurse Ratched got what she had coming to her. I’m glad things ended the way they did for her, with her being knocked down so many pegs by McMurphy but also in turn the rest of the ward patients. I think it was probably a fitting ending after the way she ran the place for so long. She lost most of the authority, composure, and control she once had and instead found herself being mocked and disrespected. I don’t think things on the ward will ever be the same again, with the Big Nurse ruling with an iron fist and a perfect machine. Maybe things will be that way again someday, but for now, the damage done and the influence of McMurphy is too strong not to have a lasting impact.

Chief’s ending in some ways was a happier one compared to the others. Even though he still had to witness death and significant changes on the ward, not all of them were bad. The result was Chief making his own choice to escape the ward and start a new life free from the Big Nurse and her controls. Rather than a downhill journey like many of the patients, Chief’s story was an upward trend. Throughout the book (and partly with McMurphy’s help), Chief got bigger and stronger, both physically and mentally, and had some important personal growth. The Chief at the beginning of the book wouldn't have made it in the outside world, but I think the Chief at the end will manage just fine in his new life.

After the big showdown and all the drama in the last chapter, many patients chose to leave. They probably didn’t want to be around anymore with the deteriorating conditions and with the real McMurphy gone, or maybe they were scared to face the consequences of what they had all done together that night with the party. Perhaps some of them finally realized that no matter how unfit they were for the real world, they wanted to be free of Nurse Ratched. I have no idea what will happen to the remaining patients, like Scanlon, but I almost feel sorry for them. I would say the book had a tragic ending, considering Billy’s death, McMurphy’s lobotomy and death, and everything else. However, the more important thing is that the firm rule of the Big Nurse and the Combine was thoroughly disrupted and destroyed. In many ways it was a triumphant ending that resulted in freedom for a lot of people, including Chief and McMurphy. 

Based on the ending, I think the overall message of the book is to stand up to unfair rules and systems, and the labels of society. Though it may come at a cost, and often a high one, getting the best of the people who try to control you and put you in a box is possible and can be a goal for people in that situation. Freedom comes at a cost, and it doesn’t always look like what we would expect it to.

Sadly Billy’s ending did not go well. But, I would say he did end up getting what he wanted. He was able to get with a girl so I am sure he was happy about that. Unfortunately, he was caught and he ended up committing suicide because I do not think he wanted to bear the consequences, and I understand after seeing the consequences of the ward. 

McMurphy truly stayed strong throughout this whole novel. From when he first stepped through the doors until he could not fight any longer. I would say he was successful with flustering Nurse Ratched. He never backed down to her and always put up a challenge, right up to the very end. Sadly, he never got to escape the ward, but he did show Nurse Ratched that he meant business and does not give up. After fighting Miss Ratched, he was unfortunately given a lobotomy and was not himself after. So really, the last of McMurphy was that fight, and he went out doing what he has wanted to do since the very beginning.

Nurse Ratched got exactly what she deserved. I think she knew McMurphy was going to try and kill her any chance he got because turning the ward against him was his last straw. So, after their fight, she was in pretty bad condition and could not run the ward anymore. That is good news to the patients in the ward. Hopefully, it will never be run the way it was when she was on top and everyone will be treated with respect. I’m glad it ended with Nurse Ratched losing her top position and not being in control anymore because it shows that McMurphy did have a great impact on the ward and without him, it would all still be the same terrible place.

I will say the same thing again, Chief got exactly what he deserved. He was able to step up and actually escape the ward. At the beginning of the Novel, the Chief was very nervous to do much of anything. He did not have an ounce of confidence, but I think that McMurphy’s presence in the ward helped him grow and show him that he is important and cannot let the ward control him.

After McMurphy and Nurse Ratched’s big fight, most of the patients decided that this was their time to escape. They realized that they needed to do something to get out of there and right then was the best time to do so. There were a few patients who did not escape and stayed in the ward. I feel bad for them and just hope that the next person in charge will treat them better than Nurse Ratched ever did. I think the possibility of that happening is slim, but I know they deserve to be treated better.

I would not call this a tragic ending. Nurse Ratched was finally knocked down from her pedestal and most of the patients were able to escape that terrible facility. I do think it is tragic that McMurphy got treated the way he did. He basically sacrificed himself so everyone else was able to escape. But, he went out a hero and entered the ward like one also. 

I think the overall message of the story is that you have to be brave and stand up for yourself to obtain your end goals. McMurphy was very persistent and never gave up throughout the whole story, while other patients of the ward have been there for years but have never done anything about it. The message is telling the readers to never let someone belittle them. Everyone has their own rights and should fight for them, no matter what.

Billy- When Billy Bibbit died, I cried. Honestly, his ending was one of the most tragic I have read. He, admittedly, did end on a somewhat good note. He got to have a short relationship with one of the girls that came to the ward, as well as have a lot of fun the night before. It is troubling to see that he ratted out McMurphy to Miss Ratchet however, because it did seem as though he was getting better and was going to stick up for himself. I think that the way Billy died was a good reminder to McMurphy that those in the ward are there for a reason, although it seemed as though some of them were fine. 

McMurphy- In the end I think that everyone will remember McMurphy as being energetic and him always getting a rise out of Miss Ratchet. I think that the real ending for McMurphy was when he had the lobotomy. He was never the same after and I think that he truly died that day. He did, however, remain optimistic and fiery until the end and never gave up. 

Miss Ratchet- Although Miss Ratchet kept the ward running for many years, I think that it was high time for things to change for her. This change came in the form of McMurphy. He pushed her to her limits and beyond, and never backed down. I think that this is a fitting ending for such a vile person and I think she deserved much worse. She pushed Billy to suicide, and literally broke McMurphy just because she could not get her own way. I honestly think that she deserves much worse for what she put and has put all of the patients through all those years.

Chief- I think that it was high time for something good to happen to Chief. He pretended to be deaf for many years and always had very little confidence. I would like to think that it was McMurphy’s attitude that pushed Chief to run away, but I think he only needed a little push. Although the ending was far from happy, I think that at least one person deserves a happy ending. 

Others- The others on the ward I feel bad for. They never made it out and have to continue to live in a terrible place for a long time. I do think that the last party was a great way for the patients to see that it does not always have to be horrible. I do think though that seeing McMurphy punished was a hard blow for them to see, and probably knocked them down a few pegs.         

Although it may seem like a tragic ending for everyone but Chief, I think that it could also be a somewhat happy ending. I think that Billy, and McMurphy would both rather be dead than in the ward and I feel like that could be a happy ending for them. However, for everyone else I would say it is a tragic ending. With no hope in sight the others on the ward probably went back to the way things were before McMurphy and things probably got worse with him gone. 

I think that the overall message of the book was that it is important to see the light when it seems as though there is none is sight. I think that McMurphy was that source of light for a lot of the patients and encouraged them to have fun while he could. This book, I think, shed light upon the terrible things that can happen in and around mental institutions.   

Billy- In so many ways, Billy’s death had affected me so much while reading. It was definitely a hard part to read as the topic is a very hard topic to talk about: suicide. Being in the world we are in, there are a lot of judgemental people and oftentimes people are embarrassed by things such as not having lost their virginity at a certain age. Billy ended up losing it and as special as that is supposed to be, it did not go the way everyone hoped it would go. Billy ended up getting caught and the nurse had threatened to tell his mom. He just couldn’t bare the thought of disobeying his mom and losing the one thing that kept him going. Billy ended up killing himself because the thought of that was too strong. It hurts me to think that he felt as though he would lose his mom’s love so the only option was suicide. 

McMurphy- McMurphy is the type of guy I would want to be. Being able to stand up for what you believe is right, making such a positive change in so many people’s lives by giving them the joy they deserve is something I hope I am able to do someday. Even though McMurphy died, I would say he died a hero. What better way to die than that? With that being said, I did find his death sad. He fought so hard for not just himself, but for everyone on the ward. When fighting with Nurse Ratchet, he got a lobotomy which is basically the thing that killed him. Yes, the Cheif was the one that killed him, McMurphy was too far gone to be saved so the Cheif did what he had to do.

Nurse Ratchet- Personally, I never like Nurse Ratchet. The way she treated the patients on the ward was something none of them ever deserved. When McMurphy decided to go after her, Nurse Ratchet ended up getting hurt. It became impossible for her to run the ward the way she used to. It was nice to see someone that didn’t deserve to have any power, to begin with, get it all taken away. Overall, I am happy to see that there will be a change in the way that the ward is run since Nurse Ratchet is no longer there. 

Chief- The Cheif had been through hell and back every single day. I think that McMurphy coming into the ward really showed the Cheif that he needed to do something that would be good for him. Leaving the ward was exactly what he needed. I’m glad the Cheif escaped because now he can finally live the life he deserved. I think he will have a lot of traumas that will follow him but I also think that he will get the help he needs through a more healthy approach that the ward was never able to give him. 

I have mixed emotions about the way that this book ended. I’m super bitter about the ending McMurphy and Billy had received but am happy for the outcome others may have gotten. Although there is some question about whether others had the happy ending they deserve, I’m hoping that the ones that left the ward find their happiness and key to success. 

I believe that the overall message of this story was that if you see something that is wrong, you need to do something to change it. If McMurphy never came into the picture, I don’t think there would have ever been the change they all deserved. I think this novel did a really great job showing that little things matter and asking someone a simple question about their day could make a big difference in their life. Sometimes a simple compliment is exactly what that person needs to make it through the day. At the end of the day, we don’t know what goes on in each other’s lives but we do know what we see. I cannot stress this enough, it is always super important that you do what you believe is right. Sitting back and not doing anything will not help you or the people around you. 

Billy’s ending was quite a sad one. While he was able to hook up with a girl and get in with the guys, the shame that he felt after being caught and the fear of his mother finding out became his downfall. Billy took his own life because he couldn’t bear the thought of letting his mother down.

McMurphy truly left the biggest impact on the ward and everyone in it. His time in the ward was spent trying to make it better. He brought joy to those around him and offered a bit of light in what seemed to be complete darkness. McMurphy went out fighting, and for that he was a hero. Unfortunately, the lobotomy McMurphy received was what truly ended him. Chief was able to finish what was left of McMurphy off, which was really only his body because the rest of him was already gone. Chief did what he had to do, and I think it’s what McMurphy would’ve wanted him to do.

Nurse Ratched’s ending was one that ended up being the best for the rest of the ward. She always had so much power and was so focused on controlling everything. I think it’s good that she had most of her authority taken away from her, because from the beginning, we always see Nurse Ratched with power. Now, she has to learn to live without that authority, which is ultimately good for the rest of the ward, since she never treated any of them well.

Chief’s ending was probably the most positive of them all. He was finally able to make the choice to escape the ward and go out into the world. All his life, Chief was also so small and never saw himself as able to have an impact on anything. However, McMurphy helped show Chief that he is a lot bigger and stronger than he perceives himself to be, and his growth in the ward is what made him able to realize that he can do fine outside of the ward.

While the ending of the book was tragic when it comes to what happened to McMurphy and Billy, I think that the rest of the patients got somewhat of a happy ending. Those left in the ward can continue to go about their lives without Nurse Ratched’s rule over them, and hopefully they can continue to find some joy in their lives. Other’s, like Chief, who left the ward can now experience the outside world for themselves and make their own decisions with their lives.

I think that the overall message of the book is that it only takes one person to bring light into an otherwise dark circumstance. McMurphy was that light in this book, and his presence in the ward was one full of contagious light and joy that had never been there before. He sparked something in patients there, like Chief, and he showed them things that had always been available for them. But sometimes it takes one person to show you your potential and what you are truly capable of.

While Billy did have high points, getting with the girl being a big one, his story ended tragically. Being caught with the girl he could not handle himself and unfortunately ended his life. He did not want to feel ashamed by his mother and thus ended it all. I think Billy could've grown so much more as a person as he showed true growth. I think Billy's death truly showed how bad the ward can be. instead of dealing with short term consequences to come, he made a long term decision that he could never take back. This really does not sit well with me that he felt dying was his best option.  

Mcmurphy's ending while not surprising was very impactful. While yes he was power hungry I feel his heart was in a good place. He wanted to control the ward for control but also he felt strongly on giving and treating the people of the ward what/how they deserve. Throughout the course of the novel I feel Mcmurphy become more and more selfless. Compared to when we first met him he showed his true intentions. So while yes he did die, he died fighting for others.  

Nurse Ratchet's ending for me was satisfying. I am glad she got what she deserved. It is like the karma finally got back to her. I mean she convinced Billy to kill himself and the way she brainwashed the whole ward she deserved the fight with Mcmurphy. Nurse Ratchet lived everyday in perfect harmony because everyone was too scared to stand up to her. I am glad that she got a taste of her own medicine thanks to Mcmurphy. 

While yes the Chief did commit homicide he did it in the right circumstances. Mcmurphy was beyond saving and the chief did it for his own good. I was so happy that the Chief was able to escape the ward.

While being sheltered from the outside world did have its benefits it also prevented real life experiences. Having this sheltered community did not allow the simple qualities of life such as, love, learning from your mistakes, sense of safety within your community. Just because these people had illnesses did not make them any less human than you or I. 

I think the overall message to the book was to put in perspective the impact one person can make on a whole community. While others in the ward did not like the way things were run they were used to that treatment. No one stood up for themselves. Mcmurphy really provided the voice of the ward and without him the ward would've gone on to being a torture chamber. That is how I viewed things were run and it is sad the patients did not know the quality of life they deserved for so long. 

Billy becomes overwhelmed when Nurse Ratchet threatens to contact his mother after finding him with a hooker that had snuck into the ward. The repercussion of this discovery is the most tragic event we see in the Cuckoo’s Nest. Billy Babbitt takes his own life due to Miss Ratchet's threat which shows that she is the antagonist of the story after all. McMurphy has tried to gain power over Nurse Ratched since the beginning. He even attempts strangling the women moments after finding that Billy had committed suicide because of her. Her response to this is also very tragic when he is lobotomized and placed as a vegetable in the ward. Chief knows that McMurphy is suffering being brain dead from the lobotomy; this is the moment the reader sees Chief’s respect for McMurphy as he suffocates him allowing him to leave the world with dignity and power over Nurse Ratchet. Nurse Ratchet has finally lost all power she had over the patients and the ward. This is from McMurphy ripping open her shirt that exposes her to all of the patients and losing that respect she had from them. This is when all of the patients finally realize that the Ward is a toxic place that is not getting them the help they need and deserve. All of the patients transfer to different wards in hopes to be treated properly. This is tragic in the sense that important people such as McMurphy and Billy’s life were taken at the end, but this gives freedom and help to the fellow patients in the ward. The overall message is that patients back in the day were treated unfairly and the psychiatric wards needed improvement. 

Billy- The ending of Billy's story didn't sit right with me. Although I am happy that he was able to get what he had been wanting (hooking up with the girl in the ward and being a part of 'the guys') I still think that it's awful that after Nurse Ratched caught him and threatened to rat him out to his mother, he felt that suicide was his only option. It's really sad for me to think that he believed his mom would not love him or be there for him anymore if she found out, especially because of how much he cared for her. Also, it's disgusting to think that Nurse Ratched could inflict that much fear of consequences in a person that he chose to take his own life.

McMurphy- Ultimately, I think McMurphy achieved his goal of giving Nurse Ratched a run for her money and keeping her on her toes the entire time he was in the ward. In the end, he was overpowered, but it is not to be said that he didn't;'t go down without a fight. After the lobotomy, McMurphy was no longer himself, but he most certainly left a mark on every patient in the ward and his legacy will be carried.

Nurse Ratched- Nurse Ratched definitely had karma come her way. After years of making the lives of the ward's patients miserable, she finally got what she deserved when McMurphy fought her, making her incapable of running the ward. Honestly, she deserved a lot worse after all the things we have seen her do throughout the book like convincing Billy to commit suicide, not to mention everything she had probably done prior to the the time that the book is set. 

Chief- Chief's ending was definitely a much happier ending than the other's. He finally built up enough confidence to escape the institution and create a new life for himself after years of pain and suffering. Even though he technically killed McMurphy, I can excuse it because it's probably what McMurphy would have wanted because he was no longer himself.

The other patients had a peaceful ending in the story. Without Nurse Ratched around, they are free from her tyranny and able to go about their lives without the fear of her punishments. 

For some it was considered a tragic ending, but for the most part I think it was pretty peaceful, especially thinking about the life that Chief will be able to live after the ending.

I think the overall moral of the story is to learn how t stand up for yourself and also to make the best out of a bad situation. Another thing that can be taken from the book is that kindness goes a long way, as demonstrated by McMurphy to the other patients.

Billy: The ending to Billy’s life was overwhelmingly dark for me. I felt it was so unnecessary for Nurse Ratched to threaten Billy to the point where he felt had no choice but to kill himself. I wish he had the opportunity to do more. But it seemed his expectations of adventure were minimal in the way that hooking up with a pretty girl and hanging with guy friends was enough to be ashamed of. Definitely bittersweet about this tragic death as suicide is never an easy topic. 

McMurphy: I think this heroic death was one to remember as he really did fight till the death with Big Nurse. Though the lobotomy ending was disturbing, yet I felt that Chief “finishing” him off was a better call; as living brain dead for the rest of your life would be almost worse. His death was an impactful moment in the story and wraps up the message of freedom against oppression and individuality. He fought relentlessly no matter the cost even when he could have simply escaped and left it all behind. 

Nurse Ratched: As for Big Nurse, her ending was well-deserved as she spent many years abusing the system without care. Since she is not healthy enough to run the ward anymore after the brawl with McMurphy, I think the withdrawal of her authority will make the institution a potentially safer environment for mentally ill patients.

Chief: This ending was probably my favorite as the readers have connected with Chief through his character development throughout the novel. Chief was never one to make bold decisions, yet the impact McMurphy laid upon him ultimately set up the point of Chief’s brave escape. This moment is important in Chief’s character development because it shows how much he has changed, it also shows how words have an influence on one's confidence. I think that Chief will use this opportunity to begin a new life and will always thank McMurphy for his unintentional yet crucial guidance. 

This ending was in many ways tragic, as we lost two main characters to lobotomy and suicide, yet I feel that as for the institution of mental illness, a triumphant ending has resulted from this madness. Since Nurse Ratched and the Combine were finally defeated by McMurphy, I feel that there is no room for improvement and reformation in the system. This bittersweet ending resulted in freedom, hope, and reformation of mentally ill patients. 

As for the message of the novel, I feel that readers can interpret this message in various ways, as for me, freedom of oppression, unbridled individuality, and leadership stood out the most to me. It’s the message of fighting for individuality and justice no matter the cost, McMurphy is the perfect example of this. McMurphy’s heroic and brave actions later inspired Chief Bromden to escape the ward and finally achieve freedom. 

Billy: Before Billy’s ultimate demise, he was able to have fun on McMurphy's fishing trip where he met Candy. Things seemed to start looking up for him when his feelings for Candy were mutual and she was able to sneak onto the ward where they had a good time drinking with friends as well as having some alone time. The good times didn’t last long though because Nurse Ratched caught Billy with the woman and threatened to tell his mother. After she successfully scared him into submission, she changed tactics by saying everything would be fine and treating him better since he was the son of a friend. I think Billy was so scared by Nurse Ratched and didn’t believe he would get away without harsh punishment so he decided to take his own life. 

McMurphy: Although McMurphy consistently fought against the tyranny Nurse Ratched brought to the ward, he lost in the end. He went out fighting Nurse Ratched until the very end when he was apprehended, forced to have a lobotomy, and suffocated to death by Chief. He may have lost in the end but his legacy lived on through the other patients who adopted his carefree attitude and disregard for the rules. They were able to find joy again and stood up for themselves when they felt they were being treated unfairly. 

Nurse Ratched: Nurse Ratched wanted complete control over her ward and the patients in it. Throughout the book, she was fighting against McMurphy because he disrupted her dictatorship by breaking her rules and routine while encouraging others to do so as well. Her end resulted in McMurphy beating her up to the point where she was in the hospital for a week. By the time she came back she was scared of the patients coming near her for fear they would hurt her. Even with McMurphy taken care of, she still couldn’t gain back the old power she had because McMurphy had influenced all the patients- or at least the few that remained since most wanted their freedom again or were too scared to remain in her ward. She never should have held so much power in the ward to begin with so I’m glad she can’t abuse others in the way she was anymore.

Chief: Chief had an ending I did not expect. As all the other patients were leaving the ward, he chose to stay for a while waiting to see what would happen on the ward and if McMurphy would show up again. The most surprising thing was when Chief suffocated McMurphy to death with a pillow after he came back essentially a vegetable from getting the lobotomy. After realizing he probably couldn’t get away with what he’d done, Chief was able to escape. In his mind, he was doing what he thought was right and now can have his freedom after many years. 

Other Patients: While Nurse Ratched was out of commission after her fight with McMurphy, most of the other patients saw this as their only time to finally get out of the ward. Those who were able to check themselves outdid that while the others requested to be transferred to another ward. Hopefully, they finally were able to have a more peaceful life without Nurse Ratched there to terrorize them. 

Overall I think that this is definitely a tragic ending. Nurse Ratched might have seemingly been defeated, but the sacrifices made to get to this point were too great to consider this a good ending. First of all, Billy felt so unsafe in the ward and terrified of his punishment that he felt he had to resort to suicide. There was also the death of Cheswick that happened as a result of McMurphy’s influence. The fight between Nurse Ratched and McMurphy caused the Nurse to finally crackdown and give McMurphy a lobotomy which left him in a miserable state that prompted Chief to kill him. Chief now has to live with that guilt for the rest of his life after he’s escaped the ward. As for the other patients, most of them may have gotten away from the ward but that doesn’t erase the trauma they’ve been through. 

Based on how the book ends, I think the overall message is even if you try to fight for what you believe in, there are going to be consequences and nothing is going to turn out the way you originally pictured it. McMurphy tried to change things on the ward and get his way throughout the whole book. Without a doubt, he made progress and had some victories like getting the patients on his side and going on the fishing trip, but in the end, he paid for his actions with his life. Not one person in the book had a happy ending or got what they wanted and I think that really shows how cruel the real world can be and not to expect things to always work out in the end.

Billy: Billy ends being pushed by Nurse Ratched to the point where he ends up killing himself all because she threatened to tell his mom that he had slept with Candy and that she found Billy and Candy in a closet. Billy really doesn't deserve this ending it is not fair for him to have to die. 

McMurphy: He has a pretty heroic ending but he did not deserve the ending that he got, he ended up getting into a fight with Nurse Ratched which led to him being taken away for a while and when he came back to the ward he ended up having had a lobotomy, and he had become a vegetable. Chief knew that this is not how McMurphy would want to live so he ends up suffocating him which ends up leading to McMurphy's death. The patients did not like how McMurphy came back as well. 

Nurse Ratched: She got a very well-deserved ending after the fight that she had with McMurphy she was no longer healthy enough to run the ward which in the end was what McMurphy wanted the whole time so I guess you could say that he achieved his goal. Although she may have deserved worse I am very glad that she can no longer be in control of the ward since it is a benefit to the patients within the ward.

Chief: Chief has a pretty good ending if not the best ending, he ends up escaping the ward and practically gets to start his life over and can run away to wherever he wants to go, he also doesn't need to worry about the ward looking for him since they probably won't be too worried. He definitely will have some trauma considering how horribly he was treated in the ward and he also had to suffocate McMurphy which must have been pretty traumatizing. 

As for the other patients, there are a couple of different endings, some got out of the ward before McMurphy came back so I guess they are pretty much free from the ward at this point. The others that are left in the ward may not have it too bad considering the Nurse Ratched is no longer in charge so it may not be as controlled.

I think that the message of the book is that you sometimes have to be the brave one to stand up for not only yourself but others to and to not just stand around and watch for someone to take action but to take that action yourself.

Billy's ending was very tragic. He slit his own throat when the Big Nurse threatened to tell his mom about the girls hes been sleeping around with. This scared him because of how low in societies social status she was. 

McMurphys ending was sad, but honorable. After he had heard about Billy's death he went crazy. He stayed true to his word and got the best of the Big nurse. He got tackled by the staff and later got a lobotomy that left him helpless. Scanlon took pity him and asked chief to put him out of his misery. so that's what he did 

Big Nurse got attacked during McMurphy's outburst and ended up in the medical wing for over a week recovering. The front of her dress got completely ripped off and she got choked. This scared her and she wasn't the same after that. 

Chief didn't want to get caught for killing McMurphy by the staff so he escaped. He finally got to live outside of the ward, speak whenever he wanted and start life all over. He got the best ending out of everyone. 

The other patients (the main character) took this opportunity to leave as they were voluntary. The rest of the patients that stayed were probably treated better as the Big Nurse was took traumatized to be the head nurse anymore. She couldn't get her ward back under control. This mean McMurphy stayed true to his word. He won. 

I think the moral of this story to to always try your best even if it has consequences.