While McMurphy laughs. Rocking farther and farther backward against the cabin top, spreading his laugh out across the water-laughing at the girl, the guys, at George, at me sucking my bleeding thumb, at the captain back at the pier and the bicycle rider and the service-station guys and the five thousand houses and the Big Nurse and all of it. Because he knows you have to laugh at the things that hurt you just to keep yourself in balance, just to keep the world from running you plumb crazy.

I been silent so long now it's gonna roar out of me like floodwaters and you think the guy telling this is ranting and raving my God; you think this is too horrible to have really happened, this is too awful to be the truth! But please. It's still hard for me to have a clear mind thinking on it. But it's the truth even if it didn't happen.