The differentiation between sanity and insanity is brilliantly made ambiguous and looking from the present perspective and morals, certainly our treatment of the mentally ill seems never right, very often even evil. They really need to do a 180 at some point, because so far it is really unclear how Ratchet became the person she is in Fly Over the Cukoo's Nest. The production value is very high but sometimes the artistic tends to distract.