In Ken Kesey's "One Flew Over the Cuckoo's Nest," the characters experience oppression within a matriarchal system that influences their lives and choices. The statement reflects the struggle against a powerful, controlling force that limits individual freedom. This dynamic suggests that even those in positions of authority, like the doctor, feel powerless against the overarching influence of this matriarchy.

The quote highlights the theme of helplessness and victimization faced by the characters. It emphasizes how systemic forces can dictate the realities of individuals, trapping them within an oppressive structure. As such, the narrative explores the conflict between personal desire and institutional control, showcasing the characters' fight for autonomy in a constrained environment.