2022: Correlation between aging and increasing government transfer dependency in Boyle County?

2022: Correlation between aging and increasing government transfer dependency in Boyle County?
John Lettieri, President and CEO of Economic Innovation Group — Official Website
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In 2022, Boyle County received $380.4 million in government transfer payments, equivalent to $12,309 per capita.

These payments—which include Social Security, Medicare, Medicaid, and income maintenance—accounted for 27.2% of all personal income in the county, according to information from the Economic Innovation Group.

This marks a slight increase in the county’s reliance on government transfers compared to 2012, when such payments made up 24.6% of total income. Since then, the share has risen by 2.6%.

Government transfer payments are non-repayable funds provided by federal, state, or local governments to support individuals in need. These payments aim to stabilize economic conditions and provide financial support during hardships. Key programs include Social Security transfers (retirement benefits), Medicare transfers (healthcare for seniors), Medicaid transfers (healthcare for low-income individuals), and income maintenance transfers (financial assistance for basic needs).

In 2022, government transfers in Boyle County primarily focused on older adults—such as Social Security transfers, which totaled $131.9 million (34.7% of all transfer income), and Medicare, which accounted for $94 million (24.7%)—played a significant role in the county’s overall income.

On a per capita basis, Social Security payments rose from $3,762 in 2012 and $828 in 1970 to $4,268 in 2022, reflecting a 13.5% increase over the past decade and a 415.5% shift since 1970.

Similarly, Medicare transfers climbed from $2,460 in 2012 and $165 in 1970 to $3,043, marking 23.7% and 1,744.2% increases, respectively.

These increases in per capita payments align with shifts in the county’s age distribution. In 2022, residents aged 65 and older made up 19.2% of the total population, compared to 16.8% in 2012 and 11.7% in 1970. While the senior share of the population has increased, the rise in per capita Social Security and Medicare transfers suggests that these assistance programs for older adults now require a larger share of government funding—either due to growing needs, expanded eligibility, higher benefit levels, or increased enrollment.

According to the Economic Innovation Group, total income in Boyle County excluding public assistance amounted to $32,973 per capita in 2022, compared to $45,282 when government transfers were included.

Breaking down the other contributions in the county, Medicaid transfers made up $83 million, a 21.8% share of total income, while income maintenance programs, including assistance such as SNAP or TANF, added another $36.6 million, or 9.6% of the total.

Compared to the previous year, Boyle County’s reliance on government transfers decreased by 4.2%.

Government transfers have long been a modest financial safety net, historically comprising only a small fraction of Americans’ income. However, since the 1970s—sometimes dubbed the “Great Transfer-mation”—dependency has surged from 8.2% (or $2,016 per capita in inflation-adjusted 2022 dollars) in 1970 to 17.6% (or $11,529 per capita) in 2022 nationwide.

According to the Economic Innovation Group’s analysis, these trends are not merely short-term responses to economic pressures but rather reflect a profound, long-term transformation in how government support is integrated into American life. The study illustrates that structural shifts—from rising healthcare expenses and demographic changes to stagnant wages—have significantly increased dependency on government transfers.

Breakdown of Government Transfers by Program in Boyle County, 2022

2022 Kentucky County Rankings by Per Capita Government Transfers

County State Rank (Per Capita Transfers) Dependency on Transfers (%) % Population 65+ Social Security Transfers (%) Medicare Transfers (%) Medicaid Transfers (%) Income Maintenance Transfers (%) Per Capita Transfers ($)
Owsley County 1 63.17% 20.72% 13.5% 17.5% 50.4% 13.3% $28,538
Cumberland County 2 48% 22.78% 21.2% 22.8% 42% 8.4% $23,787
Wolfe County 3 53.87% 19.95% 20.1% 16.9% 44.5% 13.8% $23,604
Letcher County 4 55.91% 21% 26.3% 20% 37.3% 10.4% $21,950
Magoffin County 5 52.78% 19.14% 22.4% 17.3% 43.2% 12.9% $21,818
Leslie County 6 55.99% 19.74% 24.1% 18.5% 42.2% 11% $21,778
Harlan County 7 57.29% 19.58% 24.2% 18.6% 37.6% 11.8% $21,605
Knott County 8 52.97% 20.73% 22.5% 18.9% 41.8% 11.1% $21,583
Breathitt County 9 56.1% 18.87% 19.7% 17.4% 45.6% 12.8% $21,501
Bell County 10 54.15% 19.9% 21.8% 19.3% 40.7% 12.5% $21,480
Floyd County 11 48.52% 19.75% 25% 19.6% 36.9% 11.4% $21,074
Perry County 12 48.74% 18.26% 21.9% 19.6% 39.6% 11.5% $21,011
Clay County 13 53.47% 16% 18.9% 19.2% 43.2% 14.7% $20,315
Clinton County 14 45.86% 20.59% 20.9% 19.8% 42.6% 10.9% $20,000
Whitley County 15 46.89% 16% 19.7% 23.7% 33.2% 11.8% $19,775
Pike County 16 44.82% 20.34% 28% 22.4% 31.8% 9.7% $19,526
Martin County 17 60.86% 17.64% 25.2% 16.8% 40% 12.3% $19,449
McCreary County 18 56% 16.49% 18.4% 18.6% 43.4% 13.3% $19,100
Lee County 19 55% 19.35% 19.9% 18.1% 43% 12.9% $18,993
Pulaski County 20 39.91% 19.84% 25.4% 19.1% 38.5% 8.5% $18,381
Fulton County 21 44.16% 21.55% 26.4% 27% 29% 11.2% $18,121
Johnson County 22 45.92% 19.32% 27% 20.8% 32.8% 11.2% $18,025
Menifee County 23 45% 21.5% 26.8% 23.2% 32.6% 11.4% $17,886
Knox County 24 47.44% 17.77% 22.3% 16.3% 40.5% 15% $17,645
Hickman County 25 30.9% 26% 30% 21.6% 34% 7.7% $17,459
Lawrence County 26 45.86% 18.98% 25.9% 19.4% 34.4% 11.3% $17,406
Estill County 27 42.56% 19.32% 24.3% 21.3% 32.4% 12.4% $16,596
Monroe County 28 37% 19.3% 22.8% 24.9% 35.8% 10.3% $16,535
Green County 29 40% 21.37% 25.4% 26.2% 33.7% 8.8% $16,310
Union County 30 33.35% 20.52% 31% 23.6% 28.6% 8.5% $16,290
Wayne County 31 44.24% 22.34% 26.4% 19.6% 35.1% 12.4% $16,268
Rockcastle County 32 41.12% 19.45% 25.8% 19.7% 37.1% 10.9% $16,257
Livingston County 33 35.32% 22.66% 35.4% 26.6% 22.3% 7.2% $16,172
Lewis County 34 42.24% 19.67% 22.8% 23.7% 32.6% 12.6% $16,131
Carter County 35 41.87% 19.94% 27.9% 23.8% 29.1% 10.9% $16,109
Casey County 36 40.37% 20.79% 25.1% 22.8% 35% 10.5% $15,974
Russell County 37 31.37% 20.98% 26.8% 21.3% 34.2% 10.9% $15,947
Boyd County 38 34% 20.3% 30.2% 23.7% 25.7% 9.3% $15,653
Jackson County 39 42.55% 18.31% 24.6% 21.2% 34.4% 13.8% $15,649
Greenup County 40 32.49% 22.2% 30.1% 24.6% 22.6% 8.1% $15,475
Metcalfe County 41 42% 19.81% 27.2% 23% 32.3% 10.7% $15,380
Powell County 42 41% 16.46% 27.5% 20.1% 31.4% 13.5% $15,353
Adair County 43 37.54% 19.69% 25.7% 21.2% 35% 9.6% $15,220
McLean County 44 29.59% 20.12% 32.7% 27% 24% 8% $15,208
Graves County 45 30.12% 18.95% 29.2% 24.9% 28.7% 9% $15,119
Caldwell County 46 33.81% 21.3% 31% 25.1% 25.9% 8.9% $15,101
Hopkins County 47 32% 19.23% 31.6% 23.6% 25% 9.3% $14,987
Muhlenberg County 48 36.94% 20.38% 31.8% 24.9% 25.1% 9.2% $14,844
Butler County 49 34.23% 19.13% 29.4% 20.4% 31.1% 10.1% $14,753
Robertson County 50 37.45% 23.68% 25.6% 19.4% 39% 10% $14,734
Ohio County 51 36.45% 18.69% 31.1% 22.9% 27.1% 9.9% $14,612
Crittenden County 52 35% 21.71% 32.9% 24.2% 26.5% 7.5% $14,580
Taylor County 53 36.55% 18.24% 28.6% 24.7% 28% 9.8% $14,555
Lincoln County 54 36.33% 18.58% 28.2% 24.8% 26% 11.7% $14,534
Trigg County 55 32.62% 23.17% 36.6% 26.9% 13.6% 7.5% $14,503
Carlisle County 56 26.92% 20.19% 34.6% 23% 25% 8.6% $14,471
Grayson County 57 34.36% 18.51% 29.9% 25.2% 25.5% 10.3% $14,287
Marshall County 58 29.48% 22.72% 38.5% 25.8% 19% 7% $14,279
Bath County 59 38.33% 17.31% 26.3% 24.4% 29.2% 12.7% $14,247
Morgan County 60 44.92% 17.5% 25.4% 23.4% 34.5% 11.5% $14,244
Webster County 61 28.76% 18.46% 34.5% 24.8% 23.5% 9.1% $14,213
Henderson County 62 28.75% 19.44% 33.2% 25.1% 24.1% 9.4% $14,061
Elliott County 63 51.29% 21.32% 26.7% 15.9% 38.8% 13.3% $14,055
Nicholas County 64 35.64% 16.48% 27.4% 20.8% 34.9% 9.9% $14,020
McCracken County 65 24% 20.63% 33.9% 23.2% 24.4% 8.5% $14,020
Ballard County 66 28% 22.18% 36.2% 20.3% 26.3% 8.5% $13,959
Mason County 67 29% 19.33% 32.2% 24.9% 22.5% 11.1% $13,957
Franklin County 68 27.83% 18.69% 35.3% 30.6% 17.7% 8.7% $13,770
Lyon County 69 34.46% 23.69% 38.4% 27.5% 18.6% 5.2% $13,685
Logan County 70 30.5% 18.94% 30.9% 25.3% 25.9% 9.3% $13,501
Washington County 71 29.81% 19.32% 31.5% 24% 28.6% 9% $13,470
Laurel County 72 33.26% 17.19% 29.2% 20.6% 30% 11.8% $13,437
Breckinridge County 73 32.34% 20.2% 32.4% 24.9% 23.1% 9.6% $13,425
Barren County 74 31.34% 18.25% 31% 24% 26.5% 9.9% $13,406
Bracken County 75 30.59% 18.27% 33.3% 25.8% 22.2% 10.8% $13,361
Daviess County 76 26.9% 17.81% 32.2% 23.8% 26% 8.8% $13,229
Henry County 77 26.64% 18.71% 33.4% 28.1% 21.6% 9.1% $13,190
Marion County 78 30.24% 17.43% 28.5% 22.5% 31.9% 10.4% $13,172
Rowan County 79 35.16% 14.96% 26.6% 21.8% 29.6% 10.8% $13,151
Hardin County 80 24.64% 15.14% 26.5% 20.8% 18.7% 9.5% $12,992
Fleming County 81 32% 18.84% 31.6% 24.9% 25.5% 10.5% $12,935
Trimble County 82 26.76% 18.42% 34.2% 24.6% 24.2% 9.6% $12,933
Owen County 83 32.62% 20.4% 32.3% 27.8% 24.5% 10.1% $12,891
Carroll County 84 27.74% 16.44% 31.9% 20.5% 29.6% 11.3% $12,869
Larue County 85 30% 17.92% 32% 22.5% 26.4% 9.7% $12,747
Hart County 86 31.88% 17.47% 29.2% 20.4% 30.2% 11.4% $12,644
Grant County 87 27.75% 14.43% 31.9% 27.1% 21.7% 11.2% $12,639
Edmonson County 88 31.5% 21.35% 33.6% 17.7% 29.3% 9.9% $12,539
Allen County 89 30.51% 18% 31.9% 24.1% 25% 10.1% $12,476
Garrard County 90 28.65% 19.21% 34.3% 26.1% 20% 10.7% $12,476
Harrison County 91 29.23% 18.58% 34.2% 26.7% 21.3% 10.2% $12,446
Boyle County 92 27.18% 19.15% 34.7% 24.7% 21.8% 9.6% $12,309
Clark County 93 25.87% 18.43% 34.7% 23.7% 22.8% 10.4% $12,304
Mercer County 94 27.57% 19% 37.2% 24.6% 19.8% 9.6% $12,210
Hancock County 95 22.42% 18.74% 37.9% 27.3% 17.4% 8.9% $12,094
Montgomery County 96 28.48% 16.82% 32.7% 24.3% 23% 11.7% $12,077
Jefferson County 97 18.82% 17.31% 32% 23.4% 25.5% 10.3% $12,061
Bourbon County 98 21% 20.23% 35.5% 23.7% 22.6% 10.5% $12,035
Calloway County 99 27% 17.25% 34.4% 24.8% 19.7% 7.9% $11,910
Todd County 100 25.19% 16.69% 30.2% 20.3% 28% 10.9% $11,904
Pendleton County 101 23% 17.62% 35.1% 25.2% 19.7% 10.5% $11,889
Christian County 102 27.66% 12.91% 24.2% 19.9% 26% 12.7% $11,863
Simpson County 103 26.97% 16.99% 34.8% 26% 19.8% 10% $11,642
Nelson County 104 21.77% 17.21% 36.3% 27.2% 18.2% 9.1% $11,610
Gallatin County 105 26% 15.4% 23.1% 22.8% 35% 11.3% $11,197
Campbell County 106 17.52% 17.6% 35.3% 26.1% 21.1% 7.5% $10,796
Woodford County 107 17.23% 20.75% 43.8% 27% 11.9% 7.3% $10,763
Madison County 108 24% 14.72% 32.5% 22.4% 21% 10.1% $10,653
Anderson County 109 22.69% 16.73% 39.2% 26.2% 14.8% 9.2% $10,338
Kenton County 110 14.79% 15.79% 34.3% 25.7% 21.4% 9.3% $10,281
Spencer County 111 17.95% 15.83% 37% 29.1% 17.7% 6.5% $10,099
Warren County 112 21.74% 13.41% 29.5% 22.4% 24.2% 11.3% $10,027
Meade County 113 21.39% 15.68% 35.3% 19.8% 16.4% 9.9% $10,014
Jessamine County 114 16.92% 16.54% 37.9% 25.4% 15.7% 11.3% $9,841
Bullitt County 115 19.2% 17.44% 41% 25.1% 15.3% 8.3% $9,832
Fayette County 116 15.76% 14.92% 34.1% 23.3% 21.7% 9.9% $9,400
Shelby County 117 16.57% 17% 40.7% 25.8% 15.3% 9% $9,361
Boone County 118 14.52% 14.8% 39.4% 28.6% 11.1% 8.2% $8,527
Scott County 119 15.21% 13% 39.3% 23% 15.4% 10.6% $8,006
Oldham County 120 10.16% 14.64% 42.7% 23.5% 16.2% 5.2% $7,819


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