In the movie, Nurse Ratchet is played by a women. See is seen as someone of a higher power along with her assistant nurse who does not say as much but is always with her. They are like the untouchable people. Also, the men in the place see them as the normal people and the ones who are not messed up. Nurse Ratchet represents the power in women and how they can take over lives and rule over everyone. All of the men in the hospital are in there due to some issue with a women outside of that place. For example, Billy Bibbit, was going to propose to the girl he loved and his mother got mad at him for not telling her first and he was then sent to the hospital. That's how power us women can be at some points.
Randall comes into the hospital with a lot of confidence and energy. He tries to talk to the Chief who is deaf (we find out that he is actually not) and then yelling and talking to everyone. All the guys think he is so weird. Randall represents a life that is crazy and a little messed up but still can okay and survive in the real world.
The conflict between these two is a strong one. There are a few scenes in the movie that hint at this. Randall tries to change the place and help out the guys in the hospital but Nurse Ratchet forbids him from doing so. All the characters in the hospital have these therapy sessions led by Nurse Ratchet and a couple times, Randall asks for a vote so that they can watch the World Series Games and a few times he fails because all of the other guys do not want to go against Nurse Ratchet but the third time, his plan works and all of the guys raise their hands to change the rules. Nurse Ratchet is amazed.
Another huge moment in the movie is when Randall punches the glass between the Nurses station and the guys. This is significant and saying that all these barriers and opinions about people being crazy and weird can be broken and changed. It just takes some people to stick together and have the same thought.
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