In addition to his difficulties with drugs and alcohol, Hayes also suffered from liver disease and prostate cancer. Hayes's old friend, fellow track athlete Ralph Boston, told Dwight Lewis in the Nashville Tennessean that he saw Hayes in 2001, "He was in a wheelchair and couldn't walk. He showed me his swollen feet and said, 'Cancer is something.'"
In 2001, Hayes was finally honored by being inducted into the Dallas Cowboys Ring of Honor, after being selected by team owner Jerry Jones. A track meet named after him, the Bob Hayes Invitational, hosts more than 25,000 high school athletes each year, and he is a member of the U.S. Track and Field Hall of Fame. In 2002, he was elected to the Texas Black Sports Hall of Fame.
Hayes died of kidney failure on September 18, 2002, in Jacksonville, Florida. Former Cowboys running back Calvin Hill told Teneshia L. Wright in the Florida Times Union, that he believed Hayes's most memorable characteristics, apart from his athletic abilities, were his kindness and humor. "Here was a guy who talked to emperors and kings," Hill said. "Yet he could meet a janitor and make that janitor feel like he's the most important person in the world."
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