2022: Washington County aging and government transfer dependency trends

John Lettieri, President and CEO of Economic Innovation Group - Official Website
John Lettieri, President and CEO of Economic Innovation Group - Official Website
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In 2022, Washington County received $152 million in government transfer payments, equivalent to $13,714 per capita.

These payments—which include Social Security, Medicare, Medicaid, and income maintenance—accounted for 31.6% of all personal income in the county, according to information from the Economic Innovation Group.

This marks a significant increase in the county’s reliance on government transfers compared to 2012, when such payments made up 26.3% of total income. Since then, the share has risen by 5.3%.

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 Washington County primarily focused on older adults—such as Social Security transfers, which totaled $58 million (38.1% of all transfer income), and Medicare, which accounted for $39 million (25.6%)—played a significant role in the county’s overall income.

On a per capita basis, Social Security payments rose from $4,054 in 2012 and $1,336 in 1970 to $5,229 in 2022, reflecting a 29% increase over the past decade and a 291.4% shift since 1970.

Similarly, Medicare transfers climbed from $2,643 in 2012 and $254 in 1970 to $3,515, marking 33% and 1,283.9% 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 25.7% of the total population, compared to 21.4% in 2012 and 15.5% 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 Washington County excluding public assistance amounted to $29,703 per capita in 2022, compared to $43,417 when government transfers were included.

Breaking down the other contributions in the county, Medicaid transfers made up $21.9 million, a 14.4% share of total income, while income maintenance programs, including assistance such as SNAP or TANF, added another $16.2 million, or 10.6% of the total.

Compared to the previous year, Washington County’s reliance on government transfers decreased by 4%.

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 Washington County, 2022

2022 Idaho 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 ($)
Lewis County 1 39.21% 28.3% 31.4% 29.9% 17.8% 9.1% $23,712
Lemhi County 2 30.45% 31.45% 37.4% 26.6% 15.4% 7.7% $16,460
Clearwater County 3 35.75% 28.99% 39.4% 26.8% 13.9% 7.6% $15,567
Shoshone County 4 31.85% 23.36% 37.4% 24.9% 18.8% 9.9% $14,430
Custer County 5 27.13% 30.79% 42.6% 26.3% 10.8% 8.1% $13,931
Washington County 6 31.59% 25.72% 38.1% 25.6% 14.4% 10.6% $13,714
Butte County 7 25.46% 25.61% 36.9% 29.5% 13.2% 10.5% $13,668
Benewah County 8 30.99% 23.41% 38.8% 25.9% 14.4% 9.9% $13,500
Idaho County 9 29.44% 28.87% 41.2% 24% 13% 8.9% $13,047
Boundary County 10 28.63% 23% 37.8% 23.4% 14.1% 10% $12,998
Gem County 11 27.39% 22.87% 37.2% 23.8% 19% 9.6% $12,846
Nez Perce County 12 23.16% 21.14% 38.2% 25% 15.6% 9.2% $12,605
Adams County 13 28.78% 31.27% 44.8% 24.8% 7.9% 8.8% $12,587
Bear Lake County 14 25.36% 21% 35.1% 25.4% 18.1% 9.7% $12,303
Boise County 15 22.87% 28.48% 47.9% 19.9% 10.6% 8.2% $12,264
Bonner County 16 23.11% 26.21% 43.3% 23.4% 11.5% 9% $12,012
Oneida County 17 25.62% 20.38% 34.8% 30.7% 15.1% 10.5% $11,965
Valley County 18 18% 27.17% 44.2% 28.9% 8.3% 7.3% $11,643
Bannock County 19 24.37% 15.27% 28.9% 22.3% 21.4% 12.1% $11,567
Lincoln County 20 22.35% 15% 26% 34.7% 18.3% 12.1% $11,553
Gooding County 21 15.7% 18.67% 31.3% 24.7% 23.1% 12.5% $11,453
Kootenai County 22 18.87% 19.89% 39.9% 25.2% 13.2% 9.2% $11,409
Payette County 23 23.38% 19.47% 36.9% 24.2% 16.9% 12.3% $11,375
Caribou County 24 22.17% 18.22% 37.8% 27.3% 14.5% 10.5% $10,742
Elmore County 25 24.5% 14.85% 28.7% 17.7% 16.8% 13% $10,611
Twin Falls County 26 21.46% 16.59% 33.6% 22.4% 20.8% 12.9% $10,519
Fremont (includes Yellowstone Park) County 27 22% 17.92% 35.2% 21.4% 18.2% 12.9% $10,277
Bingham County 28 21.86% 15.21% 32.1% 24.3% 20.1% 14.1% $10,256
Owyhee County 29 21% 18.55% 34.7% 19.7% 22.1% 14.9% $10,160
Camas County 30 16.1% 24.64% 44.9% 25% 9.1% 10.6% $9,957
Blaine County 31 5.94% 22.73% 45.5% 29.4% 8.8% 7.6% $9,846
Bonneville County 32 15.62% 13.83% 31.5% 22.2% 22.4% 13.6% $9,841
Power County 33 20.54% 16.83% 33.7% 22.1% 19.9% 15.7% $9,782
Canyon County 34 21.49% 14.53% 32.3% 20.5% 22% 13.9% $9,757
Minidoka County 35 19.81% 16% 33.8% 21.6% 20.8% 15% $9,498
Cassia County 36 17.37% 14.48% 32.2% 22.3% 22.1% 15.1% $9,491
Ada County 37 13.55% 16.19% 38.7% 21.5% 16.5% 10.4% $9,155
Latah County 38 17.15% 14.89% 37.7% 23.3% 14.3% 10.6% $9,028
Franklin County 39 20.32% 14.58% 35% 24.7% 16.1% 13.6% $8,997
Jerome County 40 19% 13.53% 31.3% 22.4% 21% 16.5% $8,698
Jefferson County 41 17.31% 12.36% 34.3% 20.6% 16.7% 15.6% $7,854
Clark County 42 16.19% 20.62% 34% 24.7% 13.3% 17.5% $7,653
Teton County 43 11.85% 14.14% 35.5% 25.5% 13.5% 11.7% $7,372
Madison County 44 21.77% 5.6% 19.8% 13.9% 17.1% 15.7% $6,059


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