The quote illustrates a struggle for autonomy and understanding within the oppressive environment of a mental institution. The character feels compelled to feign ignorance to navigate a system that deafens true individuality and awareness. This reflects the broader theme of the conflict between personal freedom and societal control in Ken Kesey's "One Flew Over the Cuckoo's Nest." It emphasizes how individuals may hide their true selves to survive in a stifling environment.

The act of "acting deaf" symbolizes a coping mechanism in the face of overwhelming authority. It implies that the only way to retain some semblance of agency is to mute one’s perceptions and experiences. Through this lens, Kesey critiques societal norms and the mental health system, suggesting that true voice and freedom often require subterfuge and resilience. The quote resonates with anyone who has felt marginalized or silenced by powerful institutions.