A few years later, he was a founder of the Boston Center for
Independent Living, the Massachusetts Coalition of Citizens with Disabilities, and of the
American Coalition of Citizens with Disabilities. He was also the leader of the National Paraplegia Foundation, now known as the United Spinal Association, and established and presided over its first chapter in Washington D.C. The Association still follows Fay's core principles of self-sufficiency and independent living to this day. Fay worked for many years at the Tufts New England Medical Center, until
syringomyelia made it impossible for him to sit upright. For the past quarter century, Fay has worked from his home in Concord, Massachusetts. In the early years, he used a headset to speak and listen on the phone, plus a personal computer mounted on a stand near his motorized bed. He had an electronic workstation suspended over the bed. It was from there that Fay launched the Justice for All forum that compiles and distributes disability rights information to his wide network of friends and allies. Fay made a short video with another disability rights notable, Roland W. Sykes, founder of DIMENET. He also appears in the 2011 disability rights documentary
Lives Worth Living, where he argues that sheltered workshops should be resisted and that people with disabilities should be encouraged to live their lives independently. ==Recognition==