Health
Overlooked No More: Joyce Brown, Whose Struggle Redefined the Rights of the Homeless
This article is part of Overlooked, a series of obituaries about remarkable people whose deaths, beginning in 1851, went unreported in The Times.
Joyce Brown’s New York minute lasted longer than most. A onetime secretary, Brown became homeless in 1986 and began camping on a heating grate on Second Avenue and 65th Street in Manhattan.
A year or so passed before she was picked up by city officials, involuntarily committed to a psychiatric hospital — where she was declared mentally ill — and forcibly given medication. Brown, who was better known as Billie Boggs, was the first homeless person to become the focus of Mayor Edward I. Koch’s newly expanded initiative to address the increasing visibility of homelessness and untreated mental illness on the streets.
But, as she would later say in interviews, the city chose “the wrong one.” Unlike the dozen or so other people who would face similar fates, she said she knew her rights, and she would begin exercising them the very next day.
What followed was a landmark lawsuit centered on mental health, civil liberties and the involuntary psychiatric treatment of homeless people. “I’m not insane,” Brown would say. “Just homeless.”
Before long, Brown was lofted from the pavement to prominence, with a whirlwind of interviews on talk and news programs.
By the time Brown died of a heart attack on Nov. 29, 2005, at 58, she had long been forgotten.
But the repercussions of her transitory fame still echo on the city’s sidewalks and subways, as Gov. Kathy Hochul and Mayor Eric Adams have introduced their own initiatives to address homelessness in New York, including involuntarily hospitalizing people in psychiatric crisis.
Joyce Patricia Brown was born on Sept. 7, 1947, in Elizabeth, N.J., the youngest of six children, most of whom had been born in South Carolina and Florida.
Her father, William Brown, told census enumerators in 1950 that he was unemployed. Her mother, Mae Blossom Brown, worked in a factory assembling luggage.
Some time after graduating from high school, Joyce Brown worked as a secretary for the Elizabeth Human Rights Commission, where she may have learned a thing or two about her own constitutional privileges. She also worked as a clerk for Elizabeth’s mayor at the time, Thomas G. Dunn, and for Thomas & Betts, an electrical equipment manufacturer, according to a death notice from Nesbitt Funeral Home in Elizabeth.
By 18, though, she was addicted to cocaine and heroin and was stealing money from her mother. Her mother died in 1979, which, her relatives said, might have sparked a further downward spiral emotionally.
By 1985, she had lost her job. She took turns living with her sisters in New Jersey and was treated briefly in clinics and hospitals. Her sisters’ efforts to help her resulted in arguments, and in 1986 she moved to Manhattan, where she made her home on the sidewalk near a Swensen’s ice cream parlor on the Upper East Side, urinating and defecating outdoors nearby.
She adopted the name Billie Boggs, a twisted homage to Bill Boggs, a television host on WNEW (now WNYW), with whom she had become enraptured.
To some neighbors and regular passers-by, she became a New York fixture, the kind you don’t find in the guidebooks; they would converse with her about the news. To others, she was a menace — cursing and shouting racial epithets, particularly at Black men, and even punching people.
Her sisters sought to have her hospitalized. But doctors said she did not present a danger to herself and released her.
On Oct. 12, 1987, after she had been monitored for months under a Koch administration strategy known as Project HELP (the initials stood for Homeless Emergency Liaison Project) — intended to remove severely mentally ill homeless people from Manhattan’s streets and forcibly provide them with medical and psychiatric care — she was taken to the emergency room at Bellevue Hospital, where she was admitted and injected with a tranquilizer and an anti-psychotic drug.
The next day, according to a 1988 article in New York magazine, she called the New York Civil Liberties Union from a pay phone at the hospital. Norman Siegel, the organization’s executive director, was one of the lawyers assigned to her case. In court, a Bellevue psychiatrist presented a diagnosis of “chronic paranoid schizophrenia.”
That night, one of her sisters recognized her from a courtroom sketch on the TV news.
That image was in stark juxtaposition to a photograph produced by her family, which showed a smiling Brown, wearing a red dress and gold earrings as she was being hugged by a man in a tuxedo with a pink bow tie, her sisters smiling into the camera nearby.
“This used to be my sister,” one of the sisters told Newsday. “This used to be us.”
A State Supreme Court judge ruled that Brown was “not unable to care for her essential needs” and ordered that she be released, but she remained at Bellevue while the city appealed the decision. The city won the appeal, but after a subsequent appeal by Brown’s lawyers, a judge’s ruled that she could not be forcibly medicated. That appeal was dropped when Bellevue released Brown, saying there was no point in her staying if she could not receive the hospital’s care. She had spent a total of 84 days there.
She soon evolved into a media star, a symbol of justice who, her lawyers said, presented herself in her lucid and articulate interviews a more or less rational example of urban bivouacking who was, she said, “under surveillance” for months “like I was a criminal.”
“In a civilized society you don’t just go around picking up people against their will and bringing them to the hospital when they’re sane just because of a mayor’s program,” she told Morley Safer for a 1988 segment of the CBS News program “60 Minutes.” “All of this is political. I am a political prisoner because of Mayor Koch.”
In the same segment, Mayor Koch insisted that defecating on the street was “bizarre” and said that Brown’s ability to speak articulately on camera demonstrated the efficacy of her hospitalization and the medication she had been given.
That year Brown also appeared on “The Phil Donahue Show,” after being outfitted from Bloomingdale’s, and delivered a lecture to a Harvard Law School forum in which she offered “a street view” of homelessness. Book and film offers flooded the offices of the New York Civil Liberties Union. The Associated Press called her “the most famous homeless person in America.” At his Moscow Summit with Mikhail S. Gorbachev, the Soviet leader, in 1988, President Ronald Reagan invoked her case as an example of freedom in contrast to Moscow’s policy of detaining political dissidents by claiming they were mentally ill.
“Rather than talking about me, why doesn’t the president assist me in getting permanent housing?” Brown was quoted as saying.
In the wake of Brown’s case, Project HELP faced public scrutiny and criticism. The program’s momentum stalled, and it was eventually discontinued. Brown’s lawsuit continues to serve as a precedent in debates over mental health, homelessness and civil liberties.
After Brown was released, she worked briefly as a secretary for the civil liberties union. But she quit because, she said, she didn’t like the job.
“The spunkiness that I had always admired dissipated,” Siegel said of her in an interview.
She put on weight; her gait slowed; she might have been medicated again for a while. Around 1991, she moved into a supervised group home for formerly homeless women, but she also returned to the streets to panhandle, saying that her sisters had delayed forwarding her more than $8,000 in Social Security checks. She continued to live on $500 a month in disability pay and avoided the press.
When Brown was initially released from Bellevue, it was against the recommendation of two dissenting State Supreme Court justices. “We may be approaching the time,” they wrote, “when the problem of the homeless will be confronted with sincere and realistic attitudes and resources.”
“Now,” Siegel said, “35 years later, the hopes of the dissenting justices have unfortunately still not materialized.”
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As the popularity of GLP-1 drugs continues to climb, significant weight loss associated with the medications has been linked to a growing list of cosmetic concerns.
Some surgeons report that more patients are seeking treatments for so-called “Ozempic earlobes,” which reportedly appear thinner, longer or more sagging after the loss of facial fat.
“The use of semaglutides causes you to lose fat across your body, including the small, fat pads of the earlobes,” facial plastic surgeon Sachin S. Parikh, MD, told NewBeauty.
OZEMPIC, OTHER SEMAGLUTIDES LINKED TO HAIR LOSS: HERE’S WHAT TO KNOW
“It’s important to note that semaglutides do not damage ear tissue or affect hearing in any way, so any intervention would be purely cosmetic,” added the California-based doctor.
Some of the potential treatments for “Ozempic earlobes” may include dermal filler, fat transfer, laser treatments or surgical earlobe reduction, according to the report.
As the popularity of GLP-1 drugs continues to climb, significant weight loss associated with the medications has been linked to a growing list of cosmetic concerns. (iStock)
Dr. Mohammed Asif from Duly Health and Care in Naperville, Illinois, said that while he hasn’t personally noticed an uptick in ear surgeries, he has seen a rise in other procedures due to GLP-1-triggered weight loss.
Some of those include panniculectomies (Ozempic skin removal surgery) and abdominoplasties (tummy tucks).
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“There has been a significant increase in body contouring procedures among patients with GLP-1 weight loss,” Asif told Fox News Digital.
“In my practice, I’ve seen a significant surge in breast lifts, panniculectomies (skin removal surgery), abdominoplasties (tummy tucks), brachioplasties (arm lifts) and thighplasties due to weight loss.”
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Healing and recovery are “far greater and less complicated” than with bariatric surgery weight loss, Asif noted.
“This is due to the gradual weight loss achieved over time with GLP-1s.”
“Ozempic breast” is another common complaint, according to Dr. Michael Omidi, a double board-certified plastic surgeon practicing in Beverly Hills.
“There has been a significant increase in body contouring procedures among patients with GLP-1 weight loss,” a doctor told Fox News Digital. (iStock)
“Women in their 30s and 40s would not typically need a breast lift, but when you’re taking drugs like Ozempic or Wegovy that cause rapid weight loss, women can see gravity take its toll on their breasts,” he told Fox News Digital.
“When women, especially younger ones, lose fat too fast, it causes the breasts, which are comprised of fat, glandular tissue and skin, to lose volume,” he went on. “The skin and supporting ligaments don’t always bouce back at the same rate as the weight loss, resulting in breasts that can appear saggy and deflated.”
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Dr. Samuel Golpanian, a double board-certified plastic surgeon in Beverly Hills, said he has seen “dozens” of patients – men and women alike – seeking treatments for so-called “Ozempic butt” after significant weight loss.
“This is an unintended consequence of taking GLP-1s,” he told Fox News Digital.
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“Such dramatic weight loss in a short period of time causes the skin not to tighten quickly enough to keep up with the body’s changes. Our buttocks have a large amount of fat, so when that volume disappears quickly, you’ll develop a flatter, saggier behind.”
“Such dramatic weight loss in a short period of time causes the skin not to tighten quickly enough to keep up with the body’s changes,” a surgeon said. (iStock)
Kristy Hamilton, MD, a Houston-based surgeon who is a member of the American Society of Plastic Surgeons (ASPS), agreed that a growing number of patients are seeking skin-tightening procedures after losing large amounts of weight with GLP-1s.
“We’re absolutely seeing more of those patients, and I expect that trend to continue,” said Hamilton in an ASPS report.
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“People are losing as much as 100 pounds on this medication – and when you’re losing that amount, that’s significant. You’re certainly going to have excess skin afterward.”
The ASPS lists the following body-contouring procedures as the ones most frequently performed after substantial weight loss.
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- Tummy tuck (abdominoplasty): Removes excess abdominal skin and fat
- Lower body lift (belt lipectomy): Addresses the abdomen, buttocks, hips and thighs
- Arm lift (brachioplasty): Removes hanging upper-arm skin
- Thigh lift: Tightens excess skin of the inner thighs
- Breast lift (mastopexy): Addresses sagging, deflated breasts after weight loss
- Facelift/neck lift: Addresses facial volume loss and skin laxity after major weight loss
“People are losing as much as 100 pounds on this medication – and when you’re losing that amount, that’s significant. You’re certainly going to have excess skin afterward.” (iStock)
Experts say adequate protein intake and resistance training can help minimize the loss of lean muscle mass that often accompanies rapid weight loss, which could reduce some of the cosmetic concerns.
Golpanian also emphasized the importance of eating enough protein.
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“It can be harder since your appetite is suppressed, but it’s so important to consume at least 110 grams of protein a day while taking a GLP-1 drug,” he advised.
“Also, I say this to my patients all the time: You have to lift weights to keep your muscles from atrophying. Strength training can help build muscles and preserve your glutes.”
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No sex for the win? This was the advice given to this year’s NBA champions.
New York Knicks owner James Dolan addressed the now-champs as they headed into the playoffs in April 2026, acknowledging their high potential to eventually win the championship.
“I don’t know if you understand what it would mean for you to win a championship this year … It would be life-changing,” he said. “It will stick with you the rest of your lives, and if you don’t win, you’ll be thinking about it the rest of your lives.”
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As Dolan’s inspirational speech to the team went on, he explained how the next 10 weeks would require each player to make sacrifices – watching their diets, getting proper sleep and perhaps even abstaining from sex.
“You need sacrifice and you need to eliminate all the distractions around you,” he said.
Jalen Brunson of the New York Knicks celebrates with the Bill Russell NBA Finals Most Valuable Player Award trophy and Knicks owner James Dolan after defeating the San Antonio Spurs in Game Five of the 2026 NBA Finals at Frost Bank Center in San Antonio, Texas, on June 13, 2026. (Gregory Shamus/Getty Images)
“I had this idea that maybe you should give up sex for the next 10 weeks,” the owner said. “You don’t have to give up sex for the next 10 weeks – but, like the Spartans … They denied themselves, so that they can have an edge. Get the edge.”
This received a few snickers from the team, and Dolan responded, “Don’t tell [your wives and girlfriends] you’re not going to have sex and don’t tell them it was my idea. But let them know what this is going to be like … and how they’re going to have to sacrifice, too.”
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Dr. Anna Elton, licensed marriage and family therapist and clinical sexologist in Massachusetts, confirmed that this belief has been around for centuries, dating back to the ancients Spartans and early Olympic competitors.
Avoiding sex can preserve energy, increase aggression and sharpen focus, according to Elton.
The theory behind abstaining from sex for better athletic performance supports that it can preserve energy, increase aggression and sharpen focus. (iStock)
But modern research has found little evidence that consensual sexual activity negatively impacts strength, endurance, reaction time or athletic performance when it occurs at least 10 hours before competition, the doctor countered.
However, “activity very close to competition may affect recovery measures,” she added. What may be more important, according to Elton, is the psychological value of abstinence.
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“Choosing to abstain can reinforce discipline and total commitment to a larger goal,” she said. “In those cases, the advantage may come more from mindset and focus than from any physical effect.”
“Whether the sacrifice is alcohol, social activities, favorite foods or sex, the message is often the same: ‘We are all in.’”
New York Knicks guard Jalen Brunson celebrates with teammates after the Knicks defeated the San Antonio Spurs in game five of the 2026 NBA Finals at Frost Bank Center in San Antonio, Texas, on June 13, 2026. (Geoff Burke/Imagn Images)
The science of abstinence
This discussion has historically focused on men, which Elton said is often based on “misconceptions about testosterone and energy depletion.”
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“Research has not demonstrated that normal sexual activity causes a meaningful decline in athletic performance, and concerns about testosterone depletion have not been consistently supported by the evidence,” she said.
“For women, sexual activity may have additional benefits related to stress reduction, emotional regulation and relationship satisfaction.”
Abstaining from sex for athletic performance may create a sense of discipline, minimize distractions, maintain focus on training and reinforce a team culture centered on sacrifice and commitment, experts say. (iStock)
In a separate interview with Fox News Digital, Dr. Anthony Puopolo, a men’s health expert and lead medical provider for RexMD, echoed Elton’s assessment that research largely does not support abstinence as a performance enhancer.
This is despite a small amount of evidence that suggests engaging in sexual activity within two hours of competition could pose a risk to cardiovascular recovery.
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“Unfortunately, nearly all studies (99%) have been conducted in males aged 20 to 40, so there is virtually no data on female athletes, older athletes or diverse populations,” said the Puerto Rico-based expert. “We know what to tell the Knicks, but we are not sure what to recommend for the New York Liberty.”
Importance of connection
Elton said abstinence may still offer psychological benefits for some competitors. “For some athletes, it can become part of a pre-competition ritual that enhances confidence,” she told Fox News Digital.
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Some other potential benefits of sexual activity include stress reduction, improved sleep, mood enhancement, emotional connection with a partner and relief from performance-related tension.
“Strong, supportive relationships are associated with better psychological resilience, which can be valuable during high-pressure competitions,” Elton said.
“One of the most overlooked performance advantages may be having a supportive relationship waiting at home,” a doctor said. (iStock)
“Ultimately, there is no universal rule,” she went on. “What helps one athlete perform at their best may not help another.”
Elton stressed that sleep, recovery, nutrition, stress management and support from loved ones are universal performance boosters.
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“Athletes devote tremendous attention to training their bodies, while overlooking the importance of their personal relationships,” she cautioned. “A supportive partner can be one of the greatest assets during a demanding season.”
“If competition requires temporary sacrifices, make those decisions together and keep communication open.”
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