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.”
Health
Major cannabis study finds little proof for popular medical claims, flags big dangers
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Cannabis has been linked to some significant medical benefits, but recent research calls those into question.
A major new analysis published in JAMA examined more than 2,500 scientific papers from the last 15 years, including other reviews, clinical trials and guidelines focused on medical marijuana.
“While many people turn to cannabis seeking relief, our review highlights significant gaps between public perception and scientific evidence regarding its effectiveness for most medical conditions,” Dr. Michael Hsu of University of California – Los Angeles (UCLA) Health Sciences, author of the study, said in a press release.
Many medical claims about cannabis are not supported by strong scientific evidence, according to a comprehensive review published in JAMA. (iStock)
The researchers — led by UCLA with contributions from Harvard, UC San Francisco, Washington University School of Medicine and New York University — set out to determine how strong the research is on the effectiveness of medical cannabis and to offer evidence-based clinical guidance.
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The review found that evidence supporting most medical uses of cannabis or cannabinoids is limited or insufficient, the release stated.
“Whenever a substance is widely used, there is likely to be a very wide set of outcomes,” Alex Dimitriu, MD, double board-certified in Psychiatry and Sleep Medicine and founder of Menlo Park Psychiatry & Sleep Medicine, told Fox News Digital.
“Cannabis is now used by about 15 to 25% of U.S. adults in the past year, for various reasons ranging from recreational to medicinal. This study points to the reality that this widely used substance is not a panacea,” said Dimitriu, who was not involved in the study.
There are very few conditions for which cannabinoid therapies have clear, well-established benefits backed by high-quality clinical data, according to the researchers.
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The strongest evidence supports FDA-approved cannabinoid medications for treating specific conditions, including HIV/AIDS-related appetite loss, chemotherapy-induced nausea and vomiting, and certain severe pediatric seizure disorders.
The review identified significant safety concerns, with high-potency cannabis use among young people linked to higher rates of mental health issues. (iStock)
For many other conditions that are commonly treated with cannabis — such as chronic pain, insomnia, anxiety or post-traumatic stress disorder — evidence from randomized trials did not support meaningful benefit.
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The analysis also examined safety concerns — in particular, how young people using high-potency cannabis may be more likely to suffer higher rates of psychotic symptoms and anxiety disorder.
Daily inhaled cannabis use was also linked to increased risks of coronary heart disease, myocardial infarction (heart attack) and stroke when compared with non-daily use.
Daily inhaled cannabis use is associated with increased cardiovascular risks, including coronary heart disease, heart attack and stroke. (iStock)
Based on these findings, the review emphasizes that clinicians should weigh potential benefits against known risks when discussing cannabis with patients.
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The authors suggest that clinicians screen patients for cardiovascular risk, evaluate mental health history, check for possible drug interactions and consider conditions where risks may outweigh benefits.
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They recommend open, realistic conversations and caution against assuming that cannabis is broadly effective for medical conditions.
The review highlights the need for caution, urging clinicians to weigh risks, screen patients appropriately and avoid assuming cannabis is broadly effective. (iStock)
“Patients deserve honest conversations about what the science does and doesn’t tell us about medical cannabis,” Hsu said.
This article is a narrative review rather than a systematic review, so it did not use the strict, standardized methods that help reduce bias in how studies are selected and evaluated, the researchers noted.
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The review notes further limitations, including that some evidence comes from observational research rather than randomized trials, which means it cannot establish cause and effect.
The trial results also may not apply to all populations, products or doses.
Health
Always running late? The real cost to your relationships may surprise you
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Chronic lateness is known to be a common annoyance, often leading to strain within relationships, experts have confirmed.
And for some people who struggle to be on time, the reasons may go far beyond poor planning.
Psychotherapist and author Jonathan Alpert told Fox News Digital that chronic lateness often stems from a combination of psychological patterns and neurobiological factors that people may not realize are influencing them.
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“For some people, it’s personality-driven. They’re distractible, optimistic about how long things take, or simply not tuned into the impact on others,” the New York-based expert said.
For others, the issue stems from neurobiological differences that affect how the brain manages time.
Chronic lateness may not stem from poor planning, but from psychological and neurobiological factors. (iStock)
That can make it harder to estimate how long tasks take or to transition from one activity to the next, leading to chronic lateness, according to Alpert.
Impact on relationships
In addition to disrupting schedules, chronic lateness may also strain relationships and create tension.
“Lateness erodes trust. Over time, it sends the message that someone else’s time is less important, even if that’s not the intent,” Alpert noted.
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Lateness can also become an issue in the workplace, where repeated delays can undermine teamwork and harm a person’s reputation.
These patterns are common among people with ADHD, who often experience what is known as “time blindness,” making it difficult to recognize how quickly minutes pass or how long tasks truly take.
“Adding 10 to 15 minutes of buffer between activities reduces the frantic rushing that leads to chronic lateness.”
ADHD is strongly associated with executive-function difficulties, which are the skills needed to stay organized, plan ahead and focus on essential details, according to the Attention Deficit Disorder Association.
When these abilities are weaker, it becomes more challenging to gauge time, follow a schedule and meet deadlines, which can impact personal and professional relationships, experts agree.
Frequent tardiness in a work setting can throw off group efforts and leave others with a negative impression of the employee. (iStock)
Underlying patterns
Anxiety, avoidance and perfectionism are patterns that Alpert most often sees in people who tend to run late, he noted.
“Many chronically late individuals don’t intend to be disrespectful. They’re overwhelmed, anxious or trying to squeeze too much into too little time,” he said.
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These emotional patterns often show up in different ways. For some, anxiety can make it difficult to begin even simple tasks, pushing everything behind schedule before the day has even started, according to Alpert.
For others, the struggle happens in the in-between moments. Shifting from one activity to another can feel surprisingly uncomfortable, so they linger longer than intended and lose time without noticing.
Anxiety is a major factor behind why some people have trouble being on time, according to experts. (iStock)
Others may get caught up in the details, as perfectionism keeps them adjusting or “fixing one more thing” as the minutes slip away, Alpert said.
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Another major factor, the expert shared, is that many people simply misjudge how long tasks take. Their internal sense of time is often inaccurate, which leads them to assume they can fit far more into a day than is realistically possible.
‘Time audit’
Alpert often recommends that his clients perform a simple “time audit,” where they track how long they think a routine task will take and then time it in real life. This can help them rebuild a more accurate internal clock, he said.
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“Adding 10 to 15 minutes of buffer between activities reduces the frantic rushing that leads to chronic lateness,” he said.
Many people with ADHD have a difficult time recognizing how quickly minutes pass or how long tasks truly take. (iStock)
Despite the challenges lateness can create, Alpert said people don’t have to be stuck with these habits forever. With the right support and consistent strategies, meaningful change is possible.
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“Strong routines, alarms, checklists and accurate time estimates compensate for traits that don’t naturally disappear,” he added.
People who find that lateness is affecting their everyday life and relationships may benefit from discussing their concerns with a healthcare provider or mental health professional.
Health
Holiday heart attacks rise as doctors share hidden triggers, prevention tips
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The holidays are known to be a source of stress, between traveling, preparing for family gatherings and indulging in lots of food and drinks.
The uptick of activity can actually put a strain on the heart, a phenomenon known as “holiday heart syndrome.”
Cardiothoracic surgeon Dr. Jeremy London addressed this elevated risk in a recent Instagram post, sharing how heart attacks consistently rise around the holidays.
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“Every year, like clockwork, we see a spike in heart attacks around Christmas and New Year’s,” the South Carolina-based surgeon said. “In fact, Christmas Eve is the highest-risk day of the year.”
This is due to a shift in behavior, specifically drinking and eating too much, moving less and being stressed out, according to London. “Emotional stress, financial stress, the increased pace of the holidays, increased obligations,” he listed.
Cold weather also causes vasoconstriction (narrowing of blood vessels), according to London, which increases the risk of plaque rupture and the potential for heart attack.
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Dr. Glenn Hirsch, chief of the division of cardiology at National Jewish Health in New York, noted in an interview with Fox News Digital that holiday heart syndrome typically refers to the onset of an abnormal heart rhythm, or atrial fibrillation.
This can happen after an episode of binge-drinking alcohol, Hirsch said, which can be exacerbated by holiday celebrations.
Binge-drinking at any time can drive atrial fibrillation, a cardiologist cautioned. (iStock)
“It’s often a combination of overdoing the alcohol intake along with high salt intake and large meals that can trigger it,” he said. “Adding travel, stress and less sleep, and it lowers the threshold to go into that rhythm.”
The biggest risk related to atrial fibrillation, according to Hirsch, is stroke and other complications from blood clots. Untreated atrial fibrillation can lead to heart failure after a long period of time.
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“The risk of atrial fibrillation increases with age, but also underlying cardiovascular disease risk factors increase the risk, such as high blood pressure, obesity, diabetes, sleep apnea and chronic kidney disease,” he added.
Christmas Eve is the “highest risk day of the year” for heart attacks, according to one cardiologist. (iStock)
Preventing a holiday heart event
Holiday heart syndrome is preventable, as Hirsch reminds people that “moderation is key” when celebrating.
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The expert recommends avoiding binge-drinking, overeating (especially salty foods) and dehydration, while managing stress levels and prioritizing adequate sleep.
“Don’t forget to exercise,” he added. “Even getting in at least 5,000 to 10,000 steps during the holiday can help lower risk, [while] also burning some of the additional calories we are often consuming around the holidays.”
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London agreed, stating in his video that “movement is medicine” and encouraging people to get out and move every day.
The various stresses of the holidays can have physical consequences on the body, doctors warn. (iStock)
It’s also important to stay on schedule with any prescribed medications, London emphasized. He encourages setting reminder alerts, even during the holiday break.
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“Prioritize sleep and mindfulness,” he added. “Take care of yourself during this stressful time.”
London also warned that many people delay having certain health concerns checked out until after the holidays, further worsening these conditions.
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“Don’t ignore your symptoms,” he advised. “If you don’t feel right, respond.”
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