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Though she was appointed a member of the board of the Astor Foundation soon after her marriage, upon Vincent Astor's death in 1959, she took charge of all the philanthropies to which he left his fortune.
She served as a Trustee of the Metropolitan Museum of Art and chaired the Visiting Committee of the Metropolitan's Department of Far Eastern Art ; she is credited with the idea for a Chinese garden courtyard, the Astor Court, in the Metropolitan.
Despite liquidating the Vincent Astor Foundation in 1997, she continued to be active in charities and in New York's social life.
The New York Public Library was always one of Astor's favorite charities, as was The Animal Medical Center.
In 1988, she was awarded the National Medal of Arts.
She was elected a Fellow of the American Academy of Arts and Sciences in 1992.
As a result of her charity work, Astor was awarded the Presidential Medal of Freedom in 1998.
Her life's motto summed up her prodigious generosity: “ Money is like manure ; it ’ s not worth a thing unless it ’ s spread around .”

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