Chief describes the relationships of the men on the ward. He relates that the Big Nurse encourages them to divulge information on other patients by writing down into her log book what they overheard in conversation. Big Nurse rewards the individual who made the entry by allowing him to sleep later than the other patients, and uses this information in the group therapy sessions to turn the patients against one another.
Chief tells of the division between the Acutes and the Chronics on the ward. The Chronics are those that he describes as “the culls of the Combine’s product.” Some Chronics, he says, began their stay at the hospital as Acutes, but due to staff errors, became Chronics. Big Nurse threatens the Acutes exhibiting undesirable behavior that they may end up as Chronics, a foreshadowing of events as that will eventually play out in the novel. Chief writes that the ward proudly exhibits a sign congratulating it for “GETTING ALONG WITH THE SMALLEST NUMBER OF PERSONNEL,” which he believes is due to the passive cooperation of the Acute patients. The sign is a line of demarcation between the Acutes and the Chronics, placed there as an implicit warning to keep in line by Big Nurse.
Chief equates the patient’s fear of female authority to schoolboys’ fear of being caught acting naughty by their teacher. McMurphy, oblivious to their fear, challenges the Acutes to identify the “bull goose loony,” which would be the “craziest” patient. He dismisses Billy Bibbit, a stuttering, 31-year-old man, and is introduced to Dale Harding, a college-educated, effeminate man. Chief relates enough information about Harding to indicate that he has been figuratively emasculated by his large-breasted wife and an education that has divorced his intellect from his masculinity.
Their curiosity raised, the patients ask McMurphy about his background. He tells them that he served in the Army, was a logger, learned to play poker, and is dedicated to staying single and gambling. He says he never had trouble with the law when he got into fights as a logger or soldier, but was persecuted for fighting when he became a gambler. He tells the other men that he is incarcerated for assault and battery.
McMurphy introduces himself to all the men on the ward and comes to Chief Bromden. Billy Bibbit explains that Chief is deaf, and that Bibbit would kill himself if he became deaf, a foreshadowing of his death.
