Ricketts quickly earned a reputation for "being a very careful physician, as well as an exceedingly likable young man." With his education and energy, Ricketts became the acknowledged leader of Omaha's African-American community. He was a charismatic man and controversial speaker. Following the failed candidacy of Nebraska's first black candidate, Edwin R. Overall, in 1890, Ricketts was elected to the Nebraska House of Representatives in 1892 on the Republican ticket. Rickets served two terms, from 1893 to 1897. He was the first African American to serve in the Nebraska Legislature. Dr. Ricketts was regarded as one of the best orators there and was frequently called upon for his opinions. He is credited with creating Omaha's Negro Fire Department Company. He helped secure appointments for blacks in city and state government positions, for patronage was an important part of politics before the establishment of merit career civil service for such positions. Ricketts was a member of the black association the Prince HalMasons, where he was elected Worshipful Master of Omaha Excelsior Lodge No. 110. The African-American Masons were one of many fraternal associations created by African Americans in communities nationwide in the late 19th century as they organized new cooperative ventures. Ricketts addressed the 1906 Grand Convocation of the Freemasons in Kansas City, Missouri. After leaving the Legislature, Ricketts was an unsuccessful candidate for a federal appointee position, chiefly because his appointment was opposed by a Nebraska congressman. Ricketts subsequently moved to St. Joseph, Missouri to continue his medical career in 1903. He practiced there for another 14 years and continued to play a prominent role in politics in that city. Ricketts was active in the Nebraska Legislature, chairing several committees and temporarily chairing the body. He introduced a bill to legalize interracial marriages, which passed the Legislature only to be vetoed by Governor Silas A. Holcomb. He also introduced a bill to prohibit the denial of public services to African Americans. In 1893 Nebraska lawmakers passed a measure prohibiting race-based denial of services. This strengthening of the state's 1885 civil rights law was led by Ricketts. He was also instrumental in the enactment of a bill that set an age of consent for marriage in Nebraska, relying on a petition of 500 African-American women in Omaha to carry it forward.
Personal life
In 1884 when he graduated from medical school, Ricketts married Alice Nelson. They had three children. Ricketts died in St. Joseph, Missouri, at the age of 64.