John Lettieri, President and CEO of Economic Innovation Group | Official Website
John Lettieri, President and CEO of Economic Innovation Group | Official Website
These payments—which include Social Security, Medicare, Medicaid, and income maintenance—accounted for 15% 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 13.6% of total income. Since then, the share has risen by 1.4%.
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 Douglas County primarily focused on older adults—such as Social Security transfers, which totaled $396.1 million (41.6% of all transfer income), and Medicare, which accounted for $232.2 million (24.4%)—played a significant role in the county's overall income.
On a per capita basis, Social Security payments rose from $2,351 in 2012 and $641 in 1970 to $3,302 in 2022, reflecting a 40.5% increase over the past decade and a 415.1% shift since 1970.
Similarly, Medicare transfers climbed from $1,276 in 2012 and $118 in 1970 to $1,936, marking 51.7% and 1,540.7% 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 13.9% of the total population, compared to 9.6% in 2012 and 7.6% 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 Douglas County excluding public assistance amounted to $44,865 per capita in 2022, compared to $52,799 when government transfers were included.
Breaking down the other contributions in the county, Medicaid transfers made up $128.3 million, a 13.5% share of total income, while income maintenance programs, including assistance such as SNAP or TANF, added another $73.4 million, or 7.7% of the total.
Compared to the previous year, Douglas County's reliance on government transfers decreased by 2.9%.
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 $11,529 per capita) in 2022 nationwide.
According to the Economic Innovation Group’s analysis, these trends are not merely short-term responses to economic pressures but rather reflect a profound, long-term transformation in how government support is integrated into American life. The study illustrates that structural shifts—from rising healthcare expenses and demographic changes to stagnant wages—have significantly increased dependency on government transfers.
| County | State Rank (Per Capita Transfers) | Dependency on Transfers (%) | % Population 65+ | Social Security Transfers (%) | Medicare Transfers (%) | Medicaid Transfers (%) | Income Maintenance Transfers (%) | Per Capita Transfers ($) |
|---|---|---|---|---|---|---|---|---|
| Elk County | 1 | 40.73% | 27.21% | 37.3% | 28.8% | 16% | 7.6% | $16,216 |
| Smith County | 2 | 29.34% | 29.73% | 36.8% | 38.8% | 9.8% | 5.4% | $15,906 |
| Decatur County | 3 | 26% | 29.34% | 35.6% | 40.5% | 9% | 5.9% | $15,846 |
| Barber County | 4 | 30.96% | 25.29% | 36.4% | 38.1% | 12.6% | 5.5% | $15,640 |
| Graham County | 5 | 30% | 27.37% | 36.7% | 34% | 17.6% | 5.3% | $15,439 |
| Phillips County | 6 | 24.98% | 25.28% | 37.1% | 34.9% | 12.4% | 5.3% | $15,112 |
| Lane County | 7 | 21.18% | 24.48% | 37.3% | 42.4% | 7.3% | 5.5% | $15,053 |
| Wilson County | 8 | 31.61% | 22.91% | 33.3% | 31.7% | 20.1% | 8.3% | $14,989 |
| Rush County | 9 | 28.66% | 25.13% | 36.4% | 33.7% | 14.4% | 6.6% | $14,888 |
| Labette County | 10 | 31.13% | 20.3% | 29.7% | 19.5% | 33.3% | 9.4% | $14,887 |
| Chautauqua County | 11 | 35.44% | 25.13% | 35.2% | 28% | 20% | 9.5% | $14,835 |
| Greenwood County | 12 | 34.51% | 26% | 37.5% | 26.5% | 18.9% | 7.9% | $14,800 |
| Ness County | 13 | 24.12% | 24.92% | 37.3% | 37.7% | 12% | 4.8% | $14,712 |
| Rawlins County | 14 | 18.98% | 27.82% | 36.4% | 35.3% | 15.7% | 5.5% | $14,512 |
| Russell County | 15 | 27.35% | 25.53% | 36% | 31.2% | 16.3% | 7.6% | $14,450 |
| Republic County | 16 | 31.13% | 27% | 37.8% | 33.9% | 13% | 6% | $14,409 |
| Mitchell County | 17 | 22.7% | 22.55% | 34.7% | 28.1% | 21.5% | 6.1% | $14,405 |
| Osborne County | 18 | 28.8% | 26% | 35.9% | 36.7% | 12.5% | 6.4% | $14,190 |
| Lincoln County | 19 | 29.94% | 26.76% | 38.6% | 35.6% | 8.4% | 6.9% | $14,140 |
| Cheyenne County | 20 | 25.92% | 26.55% | 37.5% | 38% | 11.1% | 5.5% | $14,133 |
| Comanche County | 21 | 32.49% | 25.98% | 36.9% | 32.3% | 20% | 5.8% | $14,100 |
| Jewell County | 22 | 30.14% | 31.47% | 38.3% | 38.9% | 7.8% | 6.2% | $14,075 |
| Harper County | 23 | 24.13% | 22.48% | 37.2% | 31.4% | 15.7% | 8.1% | $14,068 |
| Coffey County | 24 | 24.91% | 22.73% | 38.7% | 26.6% | 19.5% | 6.6% | $13,854 |
| Trego County | 25 | 25.75% | 26.62% | 38.9% | 35.3% | 13.9% | 4.8% | $13,829 |
| Allen County | 26 | 29.46% | 21% | 33.9% | 26.2% | 22.7% | 9.1% | $13,766 |
| Montgomery County | 27 | 31.2% | 20.65% | 33.7% | 24.1% | 22.3% | 10.4% | $13,699 |
| Kiowa County | 28 | 31.27% | 23.24% | 35.1% | 35.3% | 15.3% | 6.1% | $13,661 |
| Edwards County | 29 | 23.29% | 22.39% | 35.9% | 34.1% | 14.3% | 6.9% | $13,635 |
| Rooks County | 30 | 31.58% | 23.58% | 36.7% | 36.3% | 11.8% | 6% | $13,618 |
| Cloud County | 31 | 30.43% | 20.89% | 34% | 28.4% | 18.4% | 7.8% | $13,551 |
| Pawnee County | 32 | 30.74% | 23.84% | 33.8% | 37.6% | 13.4% | 6.8% | $13,512 |
| Sherman County | 33 | 26.17% | 21.2% | 31.5% | 32.2% | 21.5% | 7.5% | $13,511 |
| Logan County | 34 | 22.27% | 20.87% | 34.2% | 39.2% | 11.1% | 6.4% | $13,331 |
| Brown County | 35 | 28.1% | 22.1% | 35.8% | 25.9% | 20.4% | 8.9% | $13,266 |
| Stafford County | 36 | 27.81% | 21.78% | 35.1% | 33.1% | 16.2% | 7.1% | $13,257 |
| Sheridan County | 37 | 23.28% | 23.62% | 34.1% | 43.1% | 7.2% | 5.5% | $13,186 |
| Anderson County | 38 | 27.81% | 20.7% | 33.4% | 33.5% | 17% | 7.7% | $13,124 |
| Washington County | 39 | 27.8% | 23.45% | 35.5% | 31.7% | 16.1% | 5.3% | $13,079 |
| Morris County | 40 | 26.16% | 26.15% | 38% | 27.4% | 12% | 6.7% | $12,984 |
| Barton County | 41 | 23.49% | 20.82% | 33.7% | 29.8% | 19% | 8.8% | $12,983 |
| Neosho County | 42 | 28.44% | 20.41% | 33.7% | 25.8% | 22.3% | 9.5% | $12,938 |
| Cherokee County | 43 | 24.64% | 20% | 35.1% | 24.3% | 22.8% | 10.5% | $12,926 |
| Woodson County | 44 | 32.83% | 25.89% | 36.2% | 27% | 20.2% | 7.6% | $12,884 |
| Kingman County | 45 | 25.76% | 19.89% | 40.6% | 32.2% | 12.7% | 6.4% | $12,826 |
| Clay County | 46 | 26.84% | 23.75% | 36.4% | 28.8% | 12.5% | 6.4% | $12,753 |
| Dickinson County | 47 | 26.88% | 20.89% | 34.8% | 27.5% | 11.1% | 7.2% | $12,741 |
| Marion County | 48 | 28.2% | 23.47% | 38% | 29.6% | 16.5% | 6.1% | $12,689 |
| Bourbon County | 49 | 25.17% | 19.79% | 34.4% | 23.6% | 21.2% | 11.6% | $12,523 |
| Hodgeman County | 50 | 20.11% | 21.39% | 35.1% | 42.9% | 7.6% | 5.3% | $12,505 |
| Marshall County | 51 | 27.38% | 22.7% | 33.4% | 29.4% | 12.3% | 6.3% | $12,461 |
| Shawnee County | 52 | 22.37% | 19.46% | 34.9% | 23.9% | 18.7% | 9.6% | $12,409 |
| Cowley County | 53 | 28.4% | 18.63% | 34.4% | 22.7% | 22.4% | 10.5% | $12,400 |
| Osage County | 54 | 25.21% | 20.87% | 37.4% | 26.5% | 14.6% | 8% | $12,249 |
| Ellsworth County | 55 | 26.48% | 23.34% | 36.4% | 33.4% | 15% | 5.6% | $12,102 |
| Wichita County | 56 | 22% | 21.17% | 34.4% | 37.7% | 14.8% | 7.3% | $12,079 |
| Gove County | 57 | 16.38% | 23.6% | 36.3% | 36.6% | 11.7% | 6.1% | $11,959 |
| Harvey County | 58 | 23.49% | 20.66% | 38.4% | 27.2% | 17.4% | 7.6% | $11,925 |
| Franklin County | 59 | 24.64% | 18% | 35.7% | 28.8% | 16.1% | 8% | $11,920 |
| Reno County | 60 | 24.87% | 20.53% | 38.8% | 25.5% | 17.8% | 8.9% | $11,868 |
| Linn County | 61 | 25.92% | 22.42% | 41.8% | 25.2% | 13.6% | 8.9% | $11,857 |
| Wallace County | 62 | 22.33% | 24% | 37.6% | 33.4% | 11.3% | 7.4% | $11,847 |
| Greeley County | 63 | 13.26% | 19.81% | 38.6% | 34.5% | 15% | 6.8% | $11,689 |
| Rice County | 64 | 24% | 19.8% | 37.3% | 29.9% | 15.7% | 8.2% | $11,650 |
| Morton County | 65 | 28.19% | 21.3% | 38.9% | 28.9% | 19.1% | 9.1% | $11,523 |
| McPherson County | 66 | 20% | 20.35% | 40.1% | 27.7% | 17.8% | 5.6% | $11,516 |
| Ottawa County | 67 | 23.44% | 21.15% | 41.4% | 28.2% | 12.7% | 7.1% | $11,472 |
| Doniphan County | 68 | 24.12% | 20% | 37.1% | 29.5% | 15.3% | 7.5% | $11,365 |
| Saline County | 69 | 19.9% | 19.46% | 38.2% | 25.9% | 16% | 9.4% | $11,345 |
| Sumner County | 70 | 24.83% | 20% | 40.7% | 23.5% | 15.4% | 9.1% | $11,291 |
| Jefferson County | 71 | 21% | 20.44% | 41.4% | 28.6% | 10.1% | 6% | $11,274 |
| Pratt County | 72 | 21.16% | 21.37% | 40.4% | 26.3% | 15.9% | 7% | $11,268 |
| Jackson County | 73 | 22.61% | 19.96% | 39.5% | 28.9% | 11.8% | 7.6% | $11,114 |
| Clark County | 74 | 19% | 21.3% | 40.9% | 28.1% | 16.9% | 8.2% | $11,080 |
| Crawford County | 75 | 24.42% | 15.73% | 31.7% | 22.3% | 25% | 11.3% | $11,071 |
| Nemaha County | 76 | 18.65% | 20% | 36.8% | 31.8% | 16.6% | 6.1% | $11,015 |
| Atchison County | 77 | 25.67% | 18.18% | 34.4% | 26% | 19% | 9.4% | $11,013 |
| Chase County | 78 | 18.37% | 24.22% | 39.9% | 25.4% | 15.5% | 7% | $10,904 |
| Norton County | 79 | 20.99% | 20.69% | 37.6% | 31.6% | 14.6% | 7.4% | $10,880 |
| Lyon County | 80 | 23.18% | 16.48% | 34.9% | 25.8% | 18.3% | 9% | $10,845 |
| Wabaunsee County | 81 | 19.37% | 21.57% | 42.7% | 25.4% | 11.8% | 6.7% | $10,824 |
| Scott County | 82 | 17.54% | 19.55% | 37.9% | 32.8% | 16.2% | 6.6% | $10,762 |
| Thomas County | 83 | 19.19% | 18.77% | 36.6% | 33.6% | 12.3% | 6% | $10,493 |
| Meade County | 84 | 14.98% | 18.12% | 37.4% | 33.2% | 12.5% | 8.3% | $10,382 |
| Wyandotte County | 85 | 26.44% | 13.36% | 27.8% | 22.9% | 24.3% | 15.7% | $10,115 |
| Hamilton County | 86 | 12.66% | 14.85% | 31.9% | 38.6% | 16.4% | 8.9% | $10,066 |
| Ellis County | 87 | 17.92% | 16.52% | 37.9% | 28.1% | 14.7% | 6.4% | $10,038 |
| Miami County | 88 | 16.75% | 18.1% | 39.8% | 26.5% | 16.4% | 6.6% | $9,921 |
| Stanton County | 89 | 12.73% | 18.35% | 33.6% | 35.5% | 16% | 8.8% | $9,909 |
| Sedgwick County | 90 | 16.52% | 15.89% | 37.6% | 23.7% | 16% | 12.3% | $9,873 |
| Butler County | 91 | 18% | 16.2% | 41.7% | 25.2% | 13% | 8.3% | $9,704 |
| Leavenworth County | 92 | 18.99% | 16% | 36.3% | 22.5% | 9.1% | 7.1% | $9,496 |
| Haskell County | 93 | 15.6% | 17.66% | 35.9% | 34.7% | 13.3% | 9.2% | $9,252 |
| Kearny County | 94 | 16.65% | 16.46% | 35.5% | 27.7% | 19.4% | 9.7% | $9,220 |
| Geary County | 95 | 18.12% | 9.14% | 23.1% | 14.6% | 11.2% | 15.2% | $9,119 |
| Gray County | 96 | 13.78% | 16.16% | 39.4% | 31% | 15% | 7.3% | $9,080 |
| Grant County | 97 | 21.79% | 14.51% | 37% | 27% | 17.4% | 12.3% | $8,865 |
| Stevens County | 98 | 16.44% | 16.2% | 40.4% | 29.5% | 14.2% | 9.8% | $8,333 |
| Pottawatomie County | 99 | 13.11% | 15.33% | 40.6% | 27.1% | 10.2% | 8.3% | $8,091 |
| Johnson County | 100 | 8.88% | 15.96% | 46.1% | 28.2% | 9.6% | 5.1% | $8,040 |
| Douglas County | 101 | 15% | 13.91% | 41.6% | 24.4% | 13.5% | 7.7% | $7,934 |
| Seward County | 102 | 16.55% | 10.9% | 28.1% | 22.9% | 25.9% | 15% | $7,848 |
| Finney County | 103 | 15.75% | 11.89% | 31.7% | 22% | 23.7% | 14.6% | $7,818 |
| Ford County | 104 | 15.44% | 11.72% | 32.9% | 21.6% | 21.4% | 14.5% | $7,285 |
| Riley County | 105 | 13.48% | 10.35% | 34.7% | 21.7% | 10.7% | 8.3% | $6,776 |
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