One Flew Over the Cuckoo's Nest

what metaphors does the narrator use to describe the hospital and the ward?

from the book one flew over the cuckoos nest

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The narrator's primary metaphor is to describe society as a machine, and he considers the hospital and ward in the same way;

Big Nurse is described as a tractor; her gestures are precise/ automatic; her face is calculated/ precision made.

People are "processed."

Vegetable (a patient) is a “a shower of rust and ashes, and now and again a piece of wire and glass” inside.

The brain is considered an "apparatus," put together by "seams."