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Saturday, April 19, 2025

2022: Giles County aging and government transfer dependency trends

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John Lettieri, President and CEO of Economic Innovation Group | Official Website

John Lettieri, President and CEO of Economic Innovation Group | Official Website

In 2022, Giles County received $401.8 million in government transfer payments, equivalent to $13,151 per capita.

These payments—which include Social Security, Medicare, Medicaid, and income maintenance—accounted for 29.5% of all personal income in the county, according to information from the Economic Innovation Group.

This marks a slight decrease in the county’s reliance on government transfers compared to 2012, when such payments made up 30.4% of total income. Since then, the share has fallen by 0.9%.

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 Giles County primarily focused on older adults—such as Social Security transfers, which totaled $146.8 million (36.5% of all transfer income), and Medicare, which accounted for $112 million (27.9%)—played a significant role in the county's overall income.

On a per capita basis, Social Security payments rose from $4,162 in 2012 and $962 in 1970 to $4,803 in 2022, reflecting a 15.4% increase over the past decade and a 399.3% shift since 1970.

Similarly, Medicare transfers climbed from $3,224 in 2012 and $246 in 1970 to $3,665, marking 13.7% and 1,389.8% increases, respectively.

In comparison, during 2022, residents aged 65 and older made up 21.1% of the total population, compared to 18% in 2012 and 13.3% in 1970.

According to the Economic Innovation Group, total income in Giles County excluding public assistance amounted to $31,486 per capita in 2022, compared to $44,637 when government transfers were included.

Breaking down the other contributions in the county, Medicaid transfers made up $55.7 million, a 13.9% share of total income, while income maintenance programs, including assistance such as SNAP or TANF, added another $39.6 million, or 9.9% of the total.

Compared to the previous year, Giles 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 Giles County, 2022
Social Security Transfers [36.5%]Medicare Transfers [27.9%]Medicaid Transfers [13.9%]Income Maintenance Transfers [9.9%]

2022 Tennessee County Rankings by Per Capita Government Transfers

CountyState Rank (Per Capita Transfers)Dependency on Transfers (%)% Population 65+Social Security Transfers (%)Medicare Transfers (%)Medicaid Transfers (%)Income Maintenance Transfers (%)Per Capita Transfers ($)
Cumberland County138%32.22%43.5%29%10.1%7%$16,947
Decatur County233.61%23.13%34.5%31.4%16%9.2%$16,553
Fentress County339.47%22.97%32%28.5%18.2%11%$16,457
Unicoi County437%23.73%32.9%28%16.5%8.3%$15,735
Benton County538.18%24.16%36.1%28.4%15.2%9.9%$15,599
Greene County636.25%22%33.9%28.5%20%8.6%$15,324
Pickett County736.57%28.32%38.2%26.9%13.9%9.2%$15,310
Cocke County837.19%21.87%33.6%25.8%17.9%12.5%$15,152
Carroll County937.32%20%33.4%29.4%16.2%10%$15,132
Stewart County1031%20.81%31.3%24.2%12.7%8.4%$15,122
Houston County1138%20.92%30.2%29.4%16.2%10.2%$14,918
Campbell County1235.46%20.63%31.5%25.1%19.4%12.6%$14,913
McNairy County1338.76%20.72%33.6%29.2%17.2%10.7%$14,866
Grundy County1438.53%20.48%33.6%23.6%19.6%13.6%$14,822
Scott County1539.55%17.35%27.6%28.6%21.2%13.9%$14,817
Claiborne County1635.19%20.29%32.9%27.7%18%11.1%$14,809
Henry County1728.1%23.85%37.4%27.2%12.8%10.6%$14,703
Johnson County1837.88%23.84%35.9%28.9%13.4%10.7%$14,596
Hardin County1932.78%23.78%36.1%26.2%17.7%10.9%$14,513
Loudon County2021.49%27.76%44.8%30.3%9.2%6.2%$14,420
Roane County2128.57%23.62%38.6%27.9%14.6%8.2%$14,340
White County2234.13%20.67%34.6%26.9%15.8%10.5%$14,158
Lake County2346.35%17.12%24.3%31.5%23.1%15.1%$14,093
Obion County2428.69%21%36.3%29.3%15.1%11.2%$14,054
Clay County2533.91%25.37%35.4%25.5%16.5%11.9%$14,046
Hancock County2643.58%22.67%25.6%27.5%22.1%16.1%$13,869
Hawkins County2733.61%21.75%39.8%24.1%15.7%10.3%$13,825
Rhea County2831.54%19.18%33.5%25.5%18.9%11.6%$13,688
Marion County2928.68%21.33%37.2%29.2%14.9%10.7%$13,654
Humphreys County3030.48%20.29%36%27.6%16%9.2%$13,582
Sullivan County3126.54%22.17%39.9%27.2%13.2%9.3%$13,561
Gibson County3229.44%17.5%32.8%27.7%19.5%10.9%$13,559
Monroe County3332.61%22%38.2%27%14.3%10.6%$13,500
Hardeman County3438.69%18.57%31.8%26.6%20%14.1%$13,451
Sequatchie County3529.16%21.42%36.8%24.2%14.6%10.4%$13,432
Warren County3632%17.98%32.8%28%17.1%12.1%$13,410
Haywood County3735.62%20.96%33.5%24.8%18.5%15.8%$13,367
Dyer County3826.24%17.91%33.2%26.5%17.1%13.4%$13,347
Carter County3932.99%22.68%36.4%26%15.8%10.7%$13,321
Van Buren County4036.79%23.97%37.3%24.4%19.5%9.5%$13,232
Giles County4129.46%21%36.5%27.9%13.9%9.9%$13,151
Meigs County4232.98%21.53%36%24.1%16.3%12%$13,144
Jackson County4335.2%23.37%37.4%26.3%14.8%11.1%$13,108
Grainger County4430.68%21.56%36.4%27%15.6%11.2%$13,012
Lawrence County4530.76%17.6%33.4%29%16%10.3%$12,973
Madison County4624.77%18%32.7%23.4%20.8%12.9%$12,950
Coffee County4727.48%17.57%33.7%27.8%16.5%10.4%$12,890
Jefferson County4828.73%20.67%37.5%23.2%17.9%9.7%$12,877
McMinn County4929.65%20.36%36.6%25.4%15.5%10.7%$12,873
Hamblen County5027.51%17.5%34.7%26%17.8%10.9%$12,864
Lauderdale County5132.39%16.65%30.5%28.9%17.6%15.3%$12,862
Crockett County5227.23%19.15%34.4%25.8%17.7%12.1%$12,859
Anderson County5324.92%20.11%37.7%26.1%17%9.9%$12,818
Weakley County5428%18.43%33.7%26.8%18.3%10%$12,807
Lincoln County5526.25%20%36.7%27.4%12.5%10%$12,801
Perry County5635.88%21.44%35.3%25.1%16.8%10.7%$12,741
Putnam County5726.29%16.41%32.5%26.7%18%9.8%$12,695
Wayne County5834%19.45%35.9%28.7%14.9%9.9%$12,458
Overton County5931.58%20.38%37.6%26.2%13.4%11%$12,455
Henderson County6026.92%19%34.2%26.6%17.6%11.9%$12,444
DeKalb County6125.66%18.89%35%27%17.1%11.7%$12,390
Lewis County6229.6%21%32.9%25.7%17.3%11.2%$12,333
Franklin County6326.45%20.67%39.2%27%13.1%9.2%$12,305
Polk County6430%20.98%37.1%26.8%13.3%10.2%$12,256
Washington County6522.94%19%36.9%24.6%15.4%8.8%$12,248
Sevier County6623.21%20.61%38.7%27.4%12.4%9.2%$12,198
Union County6729.67%18.9%36.1%21.4%19.7%13.2%$12,124
Fayette County6816.32%23.14%41.9%29.7%10.8%8.9%$12,000
Dickson County6922.74%16.74%34.3%26.3%16.8%9.5%$11,745
Hickman County7027.36%18%34.5%27%15.4%11.5%$11,646
Bradley County7124.55%17.48%36.9%26.5%15.7%10.6%$11,568
Blount County7221.59%21.15%41.9%27%12%7.9%$11,515
Hamilton County7318.91%18.39%36.2%26.1%15.1%10.4%$11,478
Cannon County7426%18.19%38.1%24.7%14.7%10.9%$11,469
Morgan County7530.7%19%39.9%22.4%15.9%12.2%$11,358
Chester County7627.49%17.15%36.7%25.2%14.7%12.2%$11,186
Moore County7722.88%22%40.5%21%9.5%7.6%$11,126
Macon County7827.77%15.84%33%25.3%18.7%13.9%$11,067
Maury County7920.86%17.23%37.3%27.2%14.3%9.1%$11,045
Tipton County8022.48%15.79%34.4%25.6%13.1%12.2%$10,983
Bledsoe County8131.53%21.39%37.2%25.4%15.8%12.4%$10,981
Shelby County8218.61%14.79%30.1%23.4%17.6%18.7%$10,933
Smith County8322.75%17.18%36.9%25.5%15.5%11.5%$10,931
Cheatham County8419.54%16.23%38.3%27.5%14%8.2%$10,800
Marshall County8522.37%16.53%36.3%27.8%14.7%10.4%$10,787
Bedford County8622.14%14.84%34.6%24.5%16.7%13.2%$10,482
Robertson County8719.72%15.11%36.2%28.3%12.8%10.1%$10,318
Knox County8816%16.26%37.4%25.9%14.7%9.8%$10,209
Montgomery County8920.54%9.97%23.9%15.8%12.5%11.8%$10,051
Sumner County9015.4%16.69%40.6%27.3%12.3%8.8%$9,598
Wilson County9114.25%15.94%41.4%27%12.2%7.5%$9,282
Trousdale County9223.77%12.93%33.1%30.2%16.2%11.5%$8,910
Davidson County9310.22%13%32.1%25.1%18.9%13.3%$8,747
Rutherford County9414.86%11.17%34.9%23.5%15.2%11.9%$7,678
Williamson County955.71%14.76%49.7%28.7%6%4.6%$6,852

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