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Greenville Leader

Sunday, April 20, 2025

2022: Greenville 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, Greenville County received $5.6 billion in government transfer payments, equivalent to $10,268 per capita.

These payments—which include Social Security, Medicare, Medicaid, and income maintenance—accounted for 18.1% 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 17.3% of total income. Since then, the share has risen by 0.8%.

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 Greenville County primarily focused on older adults—such as Social Security transfers, which totaled $2.2 billion (38.7% of all transfer income), and Medicare, which accounted for $1.4 billion (25.7%)—played a significant role in the county's overall income.

On a per capita basis, Social Security payments rose from $3,359 in 2012 and $785 in 1970 to $3,973 in 2022, reflecting a 18.3% increase over the past decade and a 406.1% shift since 1970.

Similarly, Medicare transfers climbed from $2,089 in 2012 and $100 in 1970 to $2,637, marking 26.2% and 2,537% 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 16.7% of the total population, compared to 13.5% in 2012 and 7.4% 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 Greenville County excluding public assistance amounted to $46,386 per capita in 2022, compared to $56,653 when government transfers were included.

Breaking down the other contributions in the county, Medicaid transfers made up $676.5 million, a 12% share of total income, while income maintenance programs, including assistance such as SNAP or TANF, added another $589.1 million, or 10.5% of the total.

Compared to the previous year, Greenville County's reliance on government transfers decreased by 3.2%.

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 Greenville County, 2022
Social Security Transfers [38.7%]Medicare Transfers [25.7%]Medicaid Transfers [12%]Income Maintenance Transfers [10.5%]

2022 South Carolina 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 ($)
McCormick County141.85%39.12%43.5%28.8%10.1%6.6%$19,290
Allendale County242.31%22.8%27.4%26.1%22.8%16.1%$17,191
Clarendon County337.28%25%32.2%27.3%16.3%12.4%$16,889
Georgetown County428.5%30.83%43%28%10.1%8.6%$16,295
Marion County539.46%21.65%30.1%24.5%19.4%16.2%$16,221
Fairfield County632.39%24.24%33.4%24%18.2%12.6%$16,217
Bamberg County739.77%24.25%30.5%23.3%20.1%14.6%$15,906
Colleton County837.25%20.56%30.6%29.4%15.6%13%$15,655
Lee County938%20.72%30.3%22.9%21.9%15.1%$15,593
Dillon County1039.71%17.8%27.3%25.3%20.2%18%$15,532
Laurens County1135.56%18.98%31.3%30%18.5%11.1%$15,193
Orangeburg County1236.61%21%30.7%25.2%17.7%14.5%$15,043
Union County1339%21.64%35.9%27.3%15.4%12.5%$14,885
Williamsburg County1438.41%22.74%32.4%19.3%20.5%16.5%$14,765
Hampton County1536.49%19.82%31.2%24.1%18.1%14.9%$14,735
Barnwell County1637.47%19.52%29.1%25.4%19.9%16.2%$14,685
Horry County1731.15%26.28%42.6%29.3%7%7.5%$14,637
Darlington County1830.57%19.74%33.7%24.3%17%14.5%$14,583
Marlboro County1938%19.41%30.4%26.1%17.9%16%$14,387
Chester County2033.78%19.59%34.4%26.2%15%14.1%$13,987
Sumter County2130%17.74%28.6%21.7%14.7%14.3%$13,982
Oconee County2225.55%24.78%41.9%28.2%10.4%8.4%$13,905
Kershaw County2326.25%19%33%24.5%11%10.2%$13,853
Florence County2426.5%17.93%30.4%25%19.2%13.8%$13,791
Beaufort County2518.97%28.48%45.8%29.1%5.6%6.2%$13,685
Newberry County2628.78%20.69%36.2%27.1%13.9%11.4%$13,661
Abbeville County2734.11%22.99%37.5%24.6%13.7%11.2%$13,588
Edgefield County2827.45%20.25%33.2%32%9.9%10.4%$13,486
Greenwood County2930.66%19.46%35.2%25.6%13.5%12.3%$13,421
Calhoun County3026.87%24.66%39.3%21.3%16.5%11.8%$13,341
Chesterfield County3133.54%19.46%33.9%24.2%16.9%14.2%$13,083
Aiken County3224.29%20.86%39.3%24.4%12.2%11%$12,534
Cherokee County3332.12%17.5%36%25.8%13.9%13.7%$12,442
Lancaster County3422.22%21.64%41.2%29.3%9%9.1%$12,236
Jasper County3529.56%23.37%44.5%20.2%10.8%12.5%$12,162
Anderson County3625.23%18.35%37.5%27%11.9%11.1%$12,034
Dorchester County3724.76%15.17%29.8%32.5%10.4%9.8%$11,830
Saluda County3825.97%20.84%41.2%17.2%17.8%13.4%$11,397
Pickens County3924.4%17.31%37.1%29.1%11.1%9.2%$11,183
Richland County4020.41%14%30.7%19.8%14.1%12.4%$11,015
Lexington County4119.13%17%37.2%25.5%10.8%10.4%$10,916
Spartanburg County4220.54%16.24%36.8%25.5%12.7%12.5%$10,810
Greenville County4318.12%16.71%38.7%25.7%12%10.5%$10,268
Charleston County4413.26%17.94%37.5%25.8%12.7%9.4%$10,152
York County4515.99%15.39%39.5%25.4%10.4%10.3%$9,432
Berkeley County4617.91%14.97%36.5%20.1%9.9%12%$9,080

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