The quote illustrates a powerful transformation among the men in the mental institution, highlighting how McMurphy's influence helps them break free from their oppression. The metaphor of McMurphy's "big red hand" symbolizes his strength and willingness to lead the other patients out of their state of helplessness, represented by the fog. As he reaches out to them, they begin to emerge from their psychological barriers, one by one, indicating a collective awakening and the potential for rebellion against their oppressive environment.

This scene not only showcases McMurphy’s role as a catalyst for change but also underscores the significance of solidarity among the men. As they collectively confront the authority represented by the Big Nurse, they reclaim their identities and agency, no longer relegated to mere spectators of their lives. This change marks a pivotal moment in the narrative, reflecting themes of empowerment, resistance, and the fight for dignity within the confines of institutional control.