2022: Onslow County aging and government transfer dependency trends

In 2022, Onslow County received $2.3 billion in government transfer payments, equivalent to $10,936 per capita.

These payments—which include Social Security, Medicare, Medicaid, and income maintenance—accounted for 21.2% 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 13.2% of total income. Since then, the share has risen by 8%.

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 Onslow County primarily focused on older adults—such as Social Security transfers, which totaled $528.6 million (23.3% of all transfer income), and Medicare, which accounted for $357.1 million (15.8%)—played a notable role in the county’s overall income.

On a per capita basis, Social Security payments rose from $1,691 in 2012 and $215 in 1970 to $2,550 in 2022, reflecting a 50.8% increase over the past decade and an 1,086% shift since 1970.

Similarly, Medicare transfers climbed from $1,224 in 2012 and $37 in 1970 to $1,723, marking 40.8% and 4,556.8% 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 10.2% of the total population, compared to 7.5% in 2012 and 2.2% 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 Onslow County excluding public assistance amounted to $40,649 per capita in 2022, compared to $51,585 when government transfers were included.

Breaking down the other contributions in the county, Medicaid transfers made up $284.3 million, a 12.5% share of total income, while income maintenance programs, including assistance such as SNAP or TANF, added another $251.4 million, or 11.1% of the total.

Compared to the previous year, Onslow County’s reliance on government transfers decreased by 3.3%.

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.