Reading the last chapter of the book made me realize how much of an effect McMurphy has had on everyone in the ward.  McMuphy has such a great impact on them that even when he is not at the group meeting his presence is felt. Not only this but people are standing up to the nurse by going against her during the meetings and even yelling at her (Harding). Even though McMuphy is not physical alive I believe that his teachings live on through all men who have listened to him.