Ruby T. Hooper holds an associate degree from Mars Hill College and a bachelor's degree from the University of North Carolina, Greensboro. She began her career in healthcare as an assistant dietitian at Broughton Hospital, eventually rising to director of food service. After retiring from Broughton Hospital, Hooper engaged in public service, including a role as deputy secretary of the Department of Human Resources. She sought political office multiple times, including a bid for the North Carolina governorship. Throughout her career, Hooper was recognized for her community service and contributions to elderly care and child welfare.

Ruby T. Hooper's political identity is marked by a blend of deep community service and a focus on social welfare, particularly in healthcare and education. Despite her Republican affiliation, Hooper's legislative record shows an unexpected convergence with opposing factions on environmental regulations, revealing a highly calculated approach to protecting regional industrial interests. Her career trajectory, from managing hospital food services to engaging in state-level social welfare policies, suggests an ideologically agile stance that prioritizes local community needs over strict party lines.