I don't typically pitch a fit or anything if a film version is significantly from the book. I understand that certain licenses are taken and that the events and characters in a 400-page book can't be translated to film without it being four hours long.
Sacrifices are made and I typically appreciate both as seperate beings.
However, it is disappointing watching the adaptation of Ken Kesey's One Flew Over the Cuckoo's Nest because so much is lost in the characters, in the literary devices (Bromden being the narrator), the plot and so much more.
Although it's an antiestablishment book and film, there's certain consequences that McMurphy faces in the book when Cheswick drowns and after Billy kills himself. Those are the costs of revolution or freedom that McMurphy had on his hand. Meanwhile, he was unable to understand why these people just couldn't will themselves to be normal as none were forced to stay in the hospital.
On the other hand, in the film, we don't see how much McMurphy helps them come to terms with their deficiencies as almost being completely in their brains. In the book, we learn that most of the patients check themselves out even before the lobotomy and Bromden's escape.
Also, so much is lost out of Bromden's exclusion from the film. His narration, insight (being considered deaf and dumb, he sees and hears everything because people don't worry about him telling) and his anarchist wisdom bring a bit of balance to the book. It also brings out Nurse Ratched's sadism that is lost in the film.
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