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I wanted to look at why McMurphy threw her off and rattled her.

To him, it seemed that McMurphys overt sexuality was something that especially rattled Ratched.
Ratcheds speedy initial development process continued as the script wound its way to Ryan Murphy himself.
He said, Think about it, let me know if you want to do this with me.
Among the ideas that interested Romansky was the basis for nurse Ratcheds backstory.
The show also positions Ratched differently with regard to her trust in mental hospitals.
In the movie, she sternly follows and enforces the rulebook.
She is also depicted as explicitly queer, and self-hating because of it.
Mildred is operating within that.
Were planning season two … Whose idea do you think that was?
Ryans, of course!
That is the thing that Ryan is so freaking good at.
He can just see characters and colors and costumes so clearly.
He knew exactly what he wanted in Sharon Stone.