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Monroe Review

Saturday, April 19, 2025

2022: Monroe 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, Monroe County received $1.7 billion in government transfer payments, equivalent to $11,222 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 slight increase in the county’s reliance on government transfers compared to 2012, when such payments made up 19.5% of total income. Since then, the share has risen by 1.7%.

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 Monroe County primarily focused on older adults—such as Social Security transfers, which totaled $749.9 million (42.9% of all transfer income), and Medicare, which accounted for $487.9 million (27.9%)—played a significant role in the county's overall income.

On a per capita basis, Social Security payments rose from $3,849 in 2012 and $730 in 1970 to $4,819 in 2022, reflecting a 25.2% increase over the past decade and a 560.1% shift since 1970.

Similarly, Medicare transfers climbed from $2,430 in 2012 and $136 in 1970 to $3,135, marking 29% and 2,205.1% 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 19.8% of the total population, compared to 14.6% in 2012 and 7.3% 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 Monroe County excluding public assistance amounted to $41,776 per capita in 2022, compared to $52,998 when government transfers were included.

Breaking down the other contributions in the county, Medicaid transfers made up $220.5 million, a 12.6% share of total income, while income maintenance programs, including assistance such as SNAP or TANF, added another $138.1 million, or 7.9% of the total.

Compared to the previous year, Monroe County's reliance on government transfers decreased by 4.9%.

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.

Breakdown of Government Transfers by Program in Monroe County, 2022
Social Security Transfers [42.9%]Medicare Transfers [27.9%]Medicaid Transfers [12.6%]Income Maintenance Transfers [7.9%]

2022 Michigan 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 ($)
Ontonagon County144.51%37.65%38.7%23.8%19.3%5.4%$20,769
Montmorency County249.29%32.79%41.6%29.2%12.7%6.8%$20,425
Roscommon County345.45%34.11%42.6%29.1%12.5%7.5%$19,912
Iron County440%31.61%34.3%21.1%26.1%6.1%$19,204
Alcona County538.6%36.27%44.6%28.3%11.1%5.9%$19,074
Schoolcraft County641.18%28.47%33.6%22.5%23.7%6.4%$18,285
Iosco County739.74%30.58%39.4%25.7%18.2%7.7%$18,187
Gogebic County837.86%29%32.2%21.5%27.3%7.9%$18,005
Luce County942.19%24%33.6%25.9%23.3%7.4%$17,805
Alpena County1036.35%25%35.1%25.6%23.5%7.6%$17,680
Keweenaw County1131.16%35.82%41%24.1%18%5.1%$17,118
Arenac County1236.41%27.12%38.4%27.9%16.6%8.4%$17,004
Presque Isle County1336.49%33.76%44.9%28.2%11.1%5.5%$16,872
Manistee County1436.58%28.12%37.1%25.3%22.6%6.8%$16,657
Clare County1541.18%25.15%36.9%29.6%13.8%10%$16,531
Ogemaw County1639.94%27.66%40.7%24.6%15.6%9.6%$16,423
Huron County1729.19%26.92%37.2%29.9%18.9%6.6%$16,416
Mackinac County1831.4%29.86%39.8%27.3%15.8%5.6%$16,351
Oscoda County1940.14%29%41.7%23.8%15.7%9.1%$16,284
Lake County2044.14%26.98%38.5%25.4%17.4%10.3%$16,083
Gladwin County2136.21%27.29%41.9%27.7%13.1%8.4%$15,826
Mason County2233.28%26%37.9%26.4%19.3%7.7%$15,660
Antrim County2327.54%28.53%42.9%25.4%17.3%6.4%$15,489
Dickinson County2428%24.3%35.3%21.4%23.3%6.3%$15,402
Delta County2534%26.14%38.4%23.1%15.1%7.3%$15,159
Cheboygan County2632.25%28.77%42.7%24.3%14.4%8.4%$15,057
Sanilac County2732.5%23.15%35.6%26%21.6%8.8%$15,009
Crawford County2835.77%26.69%40.4%24.6%13.8%9%$14,858
Emmet County2921.19%24.96%38.8%26.3%20.4%5.9%$14,856
Alger County3035.77%27.24%43%26.4%12.3%5.7%$14,726
Tuscola County3133.45%21.81%37%28.5%17.7%8.4%$14,648
Bay County3229.18%21.8%37.8%25.5%18.9%8.8%$14,494
Saginaw County3330.16%20.34%34.7%25.2%20.3%12.5%$14,386
Benzie County3425.61%28.35%45%26.3%12.3%6.5%$14,028
Menominee County3529.49%26.81%40.1%25.2%14.1%7.6%$13,947
Osceola County3631.26%22.2%37.9%27%15.1%10.9%$13,926
Genesee County3729.24%18.81%35%26.2%18.8%13.5%$13,910
Charlevoix County3820.85%27.32%44.2%28%12.6%6.5%$13,898
Oceana County3930.55%22.33%37.2%26.5%16.4%11%$13,738
Wexford County4031.26%20.63%35.7%23.8%20.2%10.9%$13,710
Baraga County4133.93%22.93%35.7%22.6%19.7%8.2%$13,485
Berrien County4222.32%21.35%36.3%24%21.5%10.5%$13,462
Marquette County4328.94%20.39%36%20.7%22.5%6.5%$13,445
Wayne County4427.7%16.61%28.1%23.1%27.3%15.6%$13,435
Leelanau County4516.19%33.8%54.6%24.8%8.7%3.7%$13,243
Shiawassee County4627.91%19.94%37.6%27.9%16.4%9%$13,235
Kalkaska County4731.27%21.87%39.2%25.4%15.7%9.8%$13,192
Muskegon County4828.94%18.44%35%24.3%20.1%13%$13,189
Calhoun County4928.91%18.58%35%22.2%19.6%12.6%$12,982
Isabella County5028.92%14%27.3%17.9%36.6%9.1%$12,964
Chippewa County5130.37%19.49%33.8%23.2%21.8%8.8%$12,960
Gratiot County5229.95%17.75%32.9%25.9%23.6%9.5%$12,927
Houghton County5330%18.21%31.2%19.1%29.2%7.4%$12,897
Van Buren County5426%19.91%37%23.4%20.6%11%$12,888
Otsego County5526.37%22.3%42.4%25.2%12.2%9%$12,710
St. Clair County5624.16%20.34%39.9%26.7%15%9.3%$12,699
Missaukee County5728.74%21.88%39.7%24.4%17%9.7%$12,551
Mecosta County5829.5%20.48%38.8%24.2%13.2%11%$12,535
Jackson County5926.48%19%37.9%25.7%17.8%10.5%$12,290
Newaygo County6027.82%20.56%39.7%22.9%16.7%11.1%$12,279
Lenawee County6125.77%20.3%40.8%27%15.1%8.6%$12,252
Branch County6227.89%19.44%37.5%22.6%21%10.3%$12,002
Cass County6321.67%22.63%42.9%20.8%17.1%10.1%$11,904
Grand Traverse County6419.1%22%43%26.5%13.7%6.7%$11,861
Hillsdale County6528.16%21.3%39.4%24.1%17.5%10.3%$11,825
Midland County6619.33%20.25%40.4%25.8%16.9%7.8%$11,761
Lapeer County6723.17%20.16%43.4%28%12.2%7.9%$11,720
St. Joseph County6824.78%19%38.9%23.1%19.2%11.3%$11,632
Montcalm County6927.9%18.18%38.1%26.7%14.7%11.4%$11,363
Eaton County7022.22%20%43.6%30.2%9.1%7.9%$11,318
Monroe County7121.17%19.81%42.9%27.9%12.6%7.9%$11,222
Macomb County7220%18.29%40.4%30.5%11.2%9.9%$10,779
Ingham County7321.53%14.84%34.7%24.4%20.3%11.8%$10,676
Kalamazoo County7417.59%16.21%39%22.3%18.3%11.4%$10,489
Barry County7518.6%19.61%44.9%24.2%12.1%9%$10,075
Oakland County7611.85%18.43%43.5%30%12.1%7%$10,053
Allegan County7717.8%18.3%44.2%22.2%15.2%9.5%$9,781
Ionia County7823%15.77%39.8%25%15.6%11%$9,427
Livingston County7913.48%19.62%52.3%26.4%7.2%5.1%$9,343
Kent County8013.89%14.94%37.8%24.3%17.2%12.1%$9,305
Clinton County8115.64%18.91%49.4%25.6%8.5%7.2%$8,885
Washtenaw County8212.2%15.84%43.5%25%13.2%8.2%$8,708
Ottawa County8314.13%16.63%45.7%26.5%10.3%7.6%$8,623

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