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She keeps a tight

grip on the ward using subtle methods which cannot be ignored to get what she

wants. In the book Ms. Ratched is the most powerful woman in the hospital, what

she says goes. In the movie however, she not only doesn't have complete control

but it seems as though the doctor thinks himself as having authority over her...

This is reflected in his willingness to obey her and his lack of new

ideas. The movie was probably changed just so they wouldn't have to go into

detail about why and how the nurse was all powerful in the hospital Her lack of

power was shown most greatly during the staff meeting when she didn't lead it

and even had suggestions about her course of action made by other doctors...

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