Ronald Theodore Kirk was born in Columbus, Ohio, where he lived in a neighborhood known as Flytown. He became blind at two years old, which he said was a result of improper medical treatment. As a teenager, Kirk studied at the Ohio State School for the Blind. By age fifteen he was on the road playing rhythm and blues on weekends with Boyd Moore's band. According to saxophonist Hank Crawford, "He would be like this 14-year-old blind kid playing two horns at once. They would bring him out and he would tear the joint up." Crawford heard him during this period and said he was unbelievable. He remarked, "Now they had him doing all kinds of goofy stuff but he was playing the two horns and he was playing the shit out of them. He was an original from the beginning." Kirk felt compelled by a dream to transpose two letters in his first name to make '"Roland". In 1970, Kirk added "Rahsaan" to his name after hearing it in a dream.
Kirk was politically outspoken. During his concerts, between songs he often talked about topical issues, including African-American history and the Civil Rights Movement. His monologues were often laced with satire and absurdist humor. According to comedian Jay Leno, when Leno toured with Kirk as Kirk's opening act, Kirk would introduce him by saying: "I want to introduce a young brother who knows the black experience and knows all about the white devils.... Please welcome Jay Leno!": 109 
In 1975, Kirk had a major stroke which led to partial paralysis of one side of his body. He continued to perform and record, modifying his instruments to enable him to play with one arm. At a live performance at Ronnie Scott's Jazz Club in London he even managed to play two instruments, and carried on to tour internationally and to appear on television.

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