At this point, Teddy is alleging a formal conspiracy, which apparently he suspected from the start. Much of the fiction written during the Cold War was filled with paranoia and conspiracy theories, which reflected the public’s feelings toward the United States government. Although Lehane wrote
Shutter Island after the Cold War, the novel’s concerns reflect those of the time during which it is set. Given the time period, Teddy’s concerns do not read as overly paranoid, though he does not have proof of anything as of yet.