John Lettieri, President and CEO of Economic Innovation Group | Official Website
John Lettieri, President and CEO of Economic Innovation Group | Official Website
Among all government transfer programs, Medicare was the second largest contributor. Social Security was the largest, totaling $8.63 billion, equating to $4,864 per capita and making up 33.7% of total transfers.
Medicaid was the third largest contributor in West Virginia in 2022, accounting for $5.09 billion, averaging $2,865 per capita, and represented 19.8% of transfers in the state. Income Maintenance transfers provided another $2.81 billion, averaging $1,581 per capita and comprising 10.9% of government support, making them the smallest contributors.
Statewide, including all transfer types, government transfer payments totaled $25.65 billion, and accounted for 28.9% of residents’ total income, with an average of $14,450 per resident.
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).
With 21.1% of the population aged 65 and older, West Virginia has a significant demand for programs like Social Security and Medicare. The total per capita income in West Virginia, excluding government transfers was $35,542.3, which is far below the county's total income of $49,993, emphasizing the role of government transfers in overall income.
When comparing 2022 to the previous year, West Virginia saw an increase in its Medicare transfer dependency by 0.2%, reflecting both rising transfer amounts and stagnating or insufficient other sources of income.
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 $2,022 per capita in inflation-adjusted 2022 dollars) in 1970 to 17.6% (or $11,542 per capita) in 2022 nationwide. In West Virginia, reliance on government transfers has similarly increased from 12.4% (or $2,290 per capita) in 1970 to 28.9% (or $14,450 per capita) in 2022, reflecting broader national trends.
According to the Economic Innovation Group’s analysis, these trends are not merely short-term responses to economic pressures but rather reflect a profound, long-term transformation in how government support is integrated into American life. The study illustrates that structural shifts—from rising healthcare expenses and demographic changes to stagnant wages—have significantly increased dependency on government transfers.
| County | Rank | Dependency on Transfers (%) | % Population 65+ | Social Security Transfers (%) | Medicare Transfers (%) | Medicaid Transfers (%) | Income Maintenance Transfers (%) | Per Capita Transfers ($) |
|---|---|---|---|---|---|---|---|---|
| Kanawha County | 1 | 28.9% | 22.1% | 9.4% | 6.5% | 7.8% | 2.8% | $16,509 |
| Cabell County | 2 | 28.6% | 19.8% | 8.4% | 6.3% | 7.1% | 3.4% | $14,625 |
| Wood County | 3 | 25.5% | 21.5% | 8.7% | 6.7% | 4.8% | 2.9% | $14,891 |
| Raleigh County | 4 | 35.1% | 22% | 11.4% | 8% | 7.7% | 3.5% | $16,937 |
| Berkeley County | 5 | 18% | 15.2% | 6.9% | 4.3% | 1.2% | 2.4% | $9,422 |
| Mercer County | 6 | 40.6% | 22.8% | 11.4% | 8.2% | 10.9% | 4.8% | $18,194 |
| Monongalia County | 7 | 17.3% | 13.6% | 5.2% | 3.4% | 5% | 1.4% | $9,567 |
| Harrison County | 8 | 24% | 20.5% | 8% | 5.7% | 4.9% | 2.5% | $14,167 |
| Marion County | 9 | 28.7% | 20.2% | 10% | 7.8% | 4.3% | 2.8% | $14,041 |
| Fayette County | 10 | 39% | 23.1% | 11.9% | 8% | 9.8% | 4.5% | $17,468 |
| Ohio County | 11 | 23.8% | 22.8% | 8% | 5.5% | 6.4% | 2.1% | $15,888 |
| Jefferson County | 12 | 17.3% | 17.6% | 6.3% | 4.1% | 1.2% | 1.6% | $10,972 |
| Putnam County | 13 | 20.2% | 19.8% | 8.7% | 5.2% | 2% | 1.8% | $11,247 |
| Logan County | 14 | 46.8% | 22.4% | 13.9% | 10.1% | 12.9% | 5.3% | $19,796 |
| Greenbrier County | 15 | 37% | 24.8% | 11.9% | 8.7% | 8.5% | 3.3% | $17,504 |
| Wayne County | 16 | 30.8% | 22.6% | 11.4% | 9.4% | 0.9% | 4.6% | $12,895 |
| Randolph County | 17 | 36% | 22.5% | 10.4% | 7.7% | 10.9% | 3.5% | $16,435 |
| Hancock County | 18 | 30.6% | 24.4% | 11.6% | 9.2% | 4.7% | 2.8% | $15,528 |
| Mingo County | 19 | 50.9% | 21.4% | 16% | 11.8% | 9.9% | 7.7% | $18,656 |
| Preston County | 20 | 29% | 20.5% | 10.5% | 7.7% | 4.2% | 2.9% | $12,288 |
| Marshall County | 21 | 28.2% | 24% | 10% | 7% | 5.7% | 3% | $13,753 |
| Nicholas County | 22 | 41.2% | 23.9% | 14.4% | 9.6% | 7.6% | 4.5% | $16,739 |
| Mineral County | 23 | 30.4% | 22.7% | 9.9% | 8.7% | 4.9% | 2.8% | $14,820 |
| Mason County | 24 | 37.3% | 22.7% | 12.6% | 9.2% | 7.7% | 4.4% | $15,717 |
| Jackson County | 25 | 30.8% | 21.4% | 11.5% | 7.8% | 4.9% | 3.6% | $13,990 |
| Boone County | 26 | 41.5% | 22.4% | 14.4% | 10.7% | 6.7% | 5% | $17,114 |
| McDowell County | 27 | 54.1% | 22.6% | 16.3% | 12.9% | 10.3% | 9.7% | $18,542 |
| Wyoming County | 28 | 44.3% | 23.4% | 16.6% | 10.8% | 5.2% | 6.1% | $15,579 |
| Upshur County | 29 | 32.2% | 21.8% | 11.5% | 8.2% | 4.7% | 3.8% | $13,263 |
| Brooke County | 30 | 27.5% | 25.2% | 11.2% | 7% | 4.5% | 2.4% | $13,835 |
| Hampshire County | 31 | 27.2% | 24.2% | 10.6% | 7.7% | 2.5% | 3.3% | $12,570 |
| Lincoln County | 32 | 36.8% | 21.2% | 13.2% | 10.3% | 2.3% | 6.4% | $13,518 |
| Wetzel County | 33 | 39.3% | 22.9% | 12.1% | 10% | 9.7% | 4.1% | $17,800 |
| Morgan County | 34 | 31.4% | 25.1% | 11.9% | 6.9% | 5.9% | 3% | $14,178 |
| Lewis County | 35 | 31.4% | 21% | 11% | 8.5% | 4.7% | 4% | $13,693 |
| Summers County | 36 | 44.1% | 27.6% | 11.6% | 8.3% | 13.9% | 4.4% | $18,968 |
| Barbour County | 37 | 35.1% | 21% | 11.3% | 8.8% | 6.7% | 4.3% | $14,169 |
| Taylor County | 38 | 26.1% | 21.4% | 8.8% | 6.1% | 4.7% | 2.9% | $12,820 |
| Roane County | 39 | 38.7% | 23.6% | 13.6% | 8.8% | 7.5% | 5.1% | $15,122 |
| Braxton County | 40 | 40.2% | 24.7% | 13.5% | 9.1% | 7.8% | 5% | $16,125 |
| Grant County | 41 | 36.8% | 25.2% | 12.1% | 10.4% | 8.3% | 3.2% | $17,048 |
| Monroe County | 42 | 34.6% | 25.9% | 14.1% | 8.6% | 1.9% | 3.5% | $13,984 |
| Pocahontas County | 43 | 42.4% | 27.9% | 11.6% | 9.3% | 14.9% | 3% | $21,511 |
| Hardy County | 44 | 25.7% | 23.4% | 10.8% | 7.2% | 1.3% | 3.5% | $11,236 |
| Ritchie County | 45 | 29.9% | 23.4% | 11.1% | 7.1% | 5.3% | 3.3% | $16,384 |
| Webster County | 46 | 50.3% | 25.5% | 16.6% | 13.5% | 7.1% | 7.7% | $16,400 |
| Pleasants County | 47 | 34.7% | 18.9% | 9.9% | 6.9% | 13.4% | 2.4% | $17,078 |
| Clay County | 48 | 40.6% | 22.6% | 15% | 11.3% | 3.3% | 6.8% | $15,607 |
| Tyler County | 49 | 25.7% | 24.4% | 10.3% | 7.2% | 3.3% | 2.7% | $14,494 |
| Pendleton County | 50 | 35.1% | 29.2% | 12.4% | 9.5% | 7% | 2.7% | $19,061 |
| Tucker County | 51 | 31.4% | 28.1% | 10.3% | 7% | 8.9% | 2.3% | $17,320 |
| Calhoun County | 52 | 43.8% | 26.6% | 14.6% | 11% | 8.6% | 5.4% | $17,834 |
| Gilmer County | 53 | 35.9% | 18.5% | 9.9% | 7.8% | 9.9% | 3.7% | $12,721 |
| Wirt County | 54 | 36% | 23.1% | 14.8% | 10.7% | 1.3% | 5.3% | $14,278 |
| Doddridge County | 55 | 21.9% | 22% | 10.5% | 4.4% | 0.5% | 3.4% | $8,577 |
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