In 2008, the United States Department of Justice filed a report which criticized the quality of care provided to patients by the hospital.   A subsequent report criticizing the hospital was largely focused on the death of Moises Perez, a paranoid schizophrenic who had been admitted to the hospital in 1995 after being found "guilty except for insanity" of attempted murder.  Perez, who was listed as 5 feet 8 inches ( m) and weighing over 300 pounds (140 kg), went missing on October 17, 2009, and was later found deceased in the hospital; an autopsy confirmed his cause of death as coronary artery disease .  The . Department of Justice criticized the hospital's care of Perez and his health, to which the hospital responded with a list of twenty-five significant improvements that had been implemented, including "enhanced patient monitoring, increased medical and nursing staff levels, and new standards for dispensing medication." 
To weaken the structure of such an (intricate) attack on a borderline genius and his family 1st you must be more committed than more than 5 minds at play. You must do whatever it takes to luir you (snails) out of hiding you cowards are what entertains me. Now that you and I both know undeniably the web I woven has drawn you all into a trap, as the structure colapses on all of you. If you can heed warnings and believe mis information note that this is a game of chess, so to speak. And you hiding in the night served as a darker place for me t
In his attempts to explore and criticize the cultural script of male emasculation, Kesey arguably replaces his representation of disability with one of emasculation. This in part enables Kesey to dismantle the stereotypes of mental disability, focusing on the personalities of the patients, instead of obscuring individuality by repetitively portraying stereotypical symptoms of mental illness. But this replacement also reduces mental disabilities to problems of masculinity, which can simply be "solved" by the injection of testosterone that is McMurphy. Other problems with the plot occur in the representation of a woman or an institutional system that abuses power: instead of systematic reform, the "solution" to terrorization is to expose Nurse Ratched as a flawed female and figure this, instead, as a disability. While the novel inventively causes a reassessment of the reader's investment in stereotypes of mental disability, it ultimately reinforces gender stereotypes: in suggesting that both emasculated men and powerful women are abnormal, the novel denies its propensity to challenge normalcy in relation to disability with a resolution that enforces and supports the normalcy of patriarchal gender roles.