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When hospitals turned away AIDS patients in the 1980s, she walked through the door marked âDo Not Enter.â
She became the only family dozens of dying men ever knew.
In 1984, the AIDS crisis was tearing through Americaâand nowhere was the fear more palpable than in small-town hospitals, where even healthcare workers refused to enter patientsâ rooms.
Ruth Coker Burks was a young single mother from Hot Springs, Arkansas, visiting a friend at a hospital in Little Rock when she noticed something strange: a room with red tape across the door.
Nurses whispered warnings. Inside was âone of themââa man with AIDS. No one would go in. No one would bring him food. No one would touch him.
Ruth did.
She walked through that door and found a young manâlater known as âJimmyââskeletal, alone, terrified. He weighed less than 100 pounds. He was barely distinguishable from the white sheets on his bed.
He asked for his mother.
Ruth found a nurse and requested the motherâs phone number. The nurse looked at her like sheâd lost her mind: âHoney, his mother is not coming. Heâs been in that room for six weeks and nobody is coming.â
But Ruth called anyway.
The voice on the other end was cold: âHe died to me when he turned homosexual.â
Then the line went dead.
Ruth returned to Jimmyâs room. She sat beside him. She held his handâa hand no one else would touch, a hand his own mother had rejected.
For thirteen hours, she stayed. Until he took his last breath.
That moment changed her life.
Word spread through Arkansasâs small but terrified gay community: there was a woman in Hot Springs who would help. Who wasnât afraid. Who wouldnât turn people away.
More men came. Or rather, Ruth found themâin hospitals, abandoned by families whoâd rather tell neighbors their sons were dead than admit they had AIDS.
Ruth Coker Burks became a one-woman AIDS support system in central Arkansas.
She had no medical training. No funding. No organization backing her.
Just a determination that no one should die alone.
She drove patients to appointments when no one else would transport them. She picked up medications from pharmaciesâkeeping supplies of AZT in her pantry because many local pharmacies refused to stock AIDS drugs.
She helped them fill out paperwork for assistance. She cooked for them. She sat with them through the fear and pain.
And when they diedâwhen their families refused to claim their bodiesâRuth made sure they had a final resting place.
Her family had plots in Files Cemetery, a small historic cemetery in Hot Springs. According to Ruth, her mother had purchased numerous plots there after a family dispute.
Ruth used that land to bury men whose families wouldnât take them home.
She worked with a funeral home in Pine Bluff for cremations. Then she and her young daughter would go to Files Cemetery with a post-hole digger and a small spade. Theyâd dig. Theyâd bury the ashes. Theyâd hold their own funeral serviceâbecause no priest or minister would officiate.
âMy daughter had a little spade, and I had posthole diggers,â Ruth recalled. âIâd dig the hole, and she would help me. Iâd bury them and weâd have a do-it-yourself funeral. I couldnât get a priest or a preacher. No one would even say anything over their graves.â
The exact number of men she buried has been debatedâRuth has mentioned different figures over the years, from about two dozen to over forty. Records from that era are incomplete, and Ruth admits her memory of specific details has faded.
But whatâs undisputed is this: Ruth Coker Burks buried men whose families rejected them. She gave them dignity in death when theyâd been denied it in life.
The cost was high.
Her community shunned her. Her daughter was ostracized at school. On two occasions, crosses were burned in her yard by the Ku Klux Klan.
But gay bars in Arkansas rallied around her. Drag performers at places like the Discovery Club in Little Rock would organize fundraisersââthey would twirl up a drag show on Saturday night and hereâd come the moneyââto help Ruth pay for cremations and care.
Ruth never lost her faith. âI just lost faith in everyone elseâs faith,â she said.
She worked tirelessly through the late 1980s and into the mid-1990s, until better HIV medications and more enlightened medical care began to change the landscape. By then, Ruth had cared for hundreds of peopleâthough the exact number, like many details from that chaotic, heartbreaking era, remains unclear.
In 2010, Ruth had a strokeâwhich she partly attributed to the stress of those years. She had to relearn how to talk, feed herself, read, and write.
But she survived.
And decades later, her story began to resurface.
In 2015, the Arkansas Times profiled her as âThe Cemetery Angel.â The story went viral. Suddenly, people around the world were learning about the woman whoâd cared for dying men when no one else would.
She was honored by Broadway Sings for Pride. NPR interviewed her. CBS News featured her. Actress Rose McGowan directed a short film about her called âRuth.â
In 2020, Ruth published a memoir, âAll the Young Men.â
Her legacy is complicatedâas many legacies are. Some details of her story have been questioned. Some numbers debated. Some claims disputed.
But the emotional truth at the core remains undeniable:
During one of the darkest chapters of American public health history, when fear and stigma killed as surely as the virus itself, Ruth Coker Burks showed up.
She walked into rooms others avoided. She touched hands others refused to hold. She buried men others pretended didnât exist.
Paul Wineland, a Hot Springs resident who knew Ruth during the crisis, put it simply: âHere, we were pretty much left on our own. I had Ruth, and that was about it.â
Thatâs what matters. Not perfect records. Not exact numbers. But the fact that when people were dying alone, terrified, abandoned by everyone who should have loved themâRuth was there.
She didnât change laws. She didnât end the stigma. She didnât cure the disease.
She did something both simpler and harder:
She stayed when everyone else left.
When hospitals turned away AIDS patients in the 1980s, she walked through the door marked âDo Not Enter.â She became the only family dozens of dying men ever knew.
They called her âThe Cemetery Angel.â But Ruth never saw herself as one.
âThey just needed someone,â she said. âAnd I was there.â
Sometimes thatâs all it takes to change someoneâs worldâor to help them leave it with dignity.
