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 18.2% 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 19.9% of total income. Since then, the share has fallen 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 Johnston County primarily focused on older adults—such as Social Security transfers, which totaled $737.3 million (34.7% of all transfer income), and Medicare, which accounted for $472.4 million (22.2%)—played a significant role in the county's overall income.
On a per capita basis, Social Security payments rose from $2,737 in 2012 and $702 in 1970 to $3,140 in 2022, reflecting a 14.7% increase over the past decade and a 347.3% shift since 1970.
In the meantime, Medicare transfers climbed from $2,139 in 2012 and $151 in 1970 to $2,012, marking -5.9% and 1,232.5% drops, respectively.
In comparison, during 2022, residents aged 65 and older made up 13.8% of the total population, compared to 11.2% in 2012 and 8.6% in 1970.
According to the Economic Innovation Group, total income in Johnston County excluding public assistance amounted to $40,612 per capita in 2022, compared to $49,672 when government transfers were included.
Breaking down the other contributions in the county, Medicaid transfers made up $359.1 million, a 16.9% share of total income, while income maintenance programs, including assistance such as SNAP or TANF, added another $276.6 million, or 13% of the total.
Compared to the previous year, Johnston County's reliance on government transfers decreased by 4.7%.
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 $11,529 per capita) in 2022 nationwide.
According to the Economic Innovation Group’s analysis, these trends are not merely short-term responses to economic pressures but rather reflect a profound, long-term transformation in how government support is integrated into American life. The study illustrates that structural shifts—from rising healthcare expenses and demographic changes to stagnant wages—have significantly increased dependency on government transfers.
| County | State Rank (Per Capita Transfers) | Dependency on Transfers (%) | % Population 65+ | Social Security Transfers (%) | Medicare Transfers (%) | Medicaid Transfers (%) | Income Maintenance Transfers (%) | Per Capita Transfers ($) |
|---|---|---|---|---|---|---|---|---|
| Washington County | 1 | 41.89% | 27.99% | 31.8% | 26.1% | 17.9% | 13.3% | $19,018 |
| Northampton County | 2 | 38.93% | 29.68% | 32.4% | 27.8% | 16.7% | 14% | $18,538 |
| Swain County | 3 | 35.4% | 19.9% | 27.9% | 27.2% | 26% | 8.7% | $18,236 |
| Bertie County | 4 | 36.22% | 25.35% | 31.1% | 27.7% | 18.9% | 13.8% | $17,898 |
| Halifax County | 5 | 39.34% | 21.99% | 30.1% | 25.7% | 18.8% | 15.5% | $17,613 |
| Martin County | 6 | 40.86% | 25.79% | 31% | 28.5% | 16.6% | 12.2% | $17,387 |
| Clay County | 7 | 39.32% | 33.47% | 41.4% | 25.7% | 12% | 7.5% | $17,203 |
| Brunswick County | 8 | 29.31% | 33.74% | 45.7% | 27.9% | 8.1% | 5.6% | $17,083 |
| Bladen County | 9 | 35.18% | 23.7% | 29.9% | 26.4% | 18.7% | 14% | $17,034 |
| Beaufort County | 10 | 31.17% | 25.67% | 36.2% | 24.9% | 15.2% | 10.8% | $17,004 |
| Cherokee County | 11 | 42.48% | 31.74% | 39.3% | 25.7% | 13.3% | 7.7% | $17,000 |
| Richmond County | 12 | 36.66% | 18.16% | 26.6% | 24.2% | 20.4% | 15.3% | $16,866 |
| Robeson County | 13 | 40.77% | 16% | 22.8% | 22.4% | 23.2% | 18.5% | $16,746 |
| Vance County | 14 | 38.59% | 19.46% | 27.9% | 24.5% | 22.9% | 16.9% | $16,730 |
| Columbus County | 15 | 37.46% | 20.83% | 30.1% | 25.4% | 18.8% | 14.3% | $16,523 |
| Pamlico County | 16 | 31.47% | 31.8% | 40.5% | 26% | 11.3% | 7.6% | $16,459 |
| Polk County | 17 | 26.56% | 32.44% | 41.7% | 27.9% | 11.9% | 6.8% | $16,335 |
| Edgecombe County | 18 | 37% | 21.24% | 28.3% | 20.6% | 22.9% | 18% | $16,139 |
| Lenoir County | 19 | 31.5% | 21.52% | 29.6% | 24.8% | 19.2% | 13.8% | $16,077 |
| Perquimans County | 20 | 29.94% | 28.12% | 36.5% | 27.3% | 12.6% | 9.5% | $15,975 |
| Anson County | 21 | 31.8% | 20% | 29% | 25.5% | 21.8% | 14.9% | $15,957 |
| Jones County | 22 | 32.75% | 24.38% | 30.8% | 18.4% | 15.1% | 11.6% | $15,912 |
| Scotland County | 23 | 38.61% | 18.28% | 29% | 22% | 21.7% | 17.2% | $15,853 |
| Alleghany County | 24 | 35.62% | 28.34% | 36.5% | 27.9% | 13.4% | 9.1% | $15,839 |
| Chowan County | 25 | 30.94% | 25.99% | 35.4% | 26.6% | 15.1% | 11.3% | $15,782 |
| Haywood County | 26 | 30.46% | 25.52% | 37.9% | 26.2% | 14.2% | 8.7% | $15,500 |
| Hertford County | 27 | 37.31% | 22.5% | 29.9% | 25.3% | 19.3% | 14.8% | $15,494 |
| Carteret County | 28 | 24.27% | 27% | 36.9% | 27.6% | 9.7% | 6.7% | $15,421 |
| Macon County | 29 | 31.92% | 28.74% | 39.5% | 26.6% | 12.3% | 7.8% | $15,420 |
| Transylvania County | 30 | 27.56% | 31.74% | 41.7% | 25.5% | 12.4% | 8.2% | $15,268 |
| Graham County | 31 | 36.77% | 24.79% | 32.3% | 23.2% | 22.8% | 10.7% | $15,201 |
| Yancey County | 32 | 35.93% | 26.5% | 37.1% | 26.4% | 15.1% | 8.9% | $15,092 |
| McDowell County | 33 | 34.29% | 21.56% | 33.5% | 25.2% | 18.2% | 11.1% | $15,084 |
| Wilson County | 34 | 30.62% | 19.22% | 32.6% | 25.9% | 17.5% | 13.2% | $14,934 |
| Mitchell County | 35 | 33.65% | 25.35% | 36.9% | 25% | 15.8% | 9% | $14,804 |
| Craven County | 36 | 27.15% | 21% | 32.5% | 24.5% | 11.7% | 9.7% | $14,750 |
| Tyrrell County | 37 | 32.69% | 24.19% | 30.1% | 27.1% | 14.5% | 14.1% | $14,737 |
| Rutherford County | 38 | 34.64% | 22.29% | 34.2% | 24.6% | 17.1% | 12.1% | $14,732 |
| Wilkes County | 39 | 30.95% | 22.99% | 35.1% | 26.9% | 16.4% | 11.9% | $14,698 |
| Ashe County | 40 | 33% | 27.39% | 37.5% | 26.4% | 14.2% | 9.1% | $14,667 |
| Rockingham County | 41 | 32% | 21.3% | 35.2% | 27.6% | 16.5% | 11.4% | $14,506 |
| Cleveland County | 42 | 31.86% | 19% | 33% | 24.3% | 19.7% | 13.5% | $14,377 |
| Cumberland County | 43 | 30.97% | 12.97% | 22% | 15.7% | 16.4% | 13.8% | $14,252 |
| Duplin County | 44 | 27% | 19.95% | 28.5% | 25.6% | 18% | 14.2% | $14,246 |
| Henderson County | 45 | 25.76% | 26.43% | 41.8% | 28.1% | 11.3% | 7% | $14,228 |
| Caldwell County | 46 | 31.45% | 21.13% | 33.5% | 25.9% | 17.3% | 10.7% | $14,076 |
| Surry County | 47 | 28.75% | 21% | 33.2% | 28.2% | 16.3% | 11.1% | $14,023 |
| Madison County | 48 | 31.5% | 23.13% | 34.5% | 25% | 16.1% | 9.8% | $14,018 |
| Sampson County | 49 | 29.82% | 18.21% | 29.7% | 24.6% | 18.7% | 14.5% | $13,970 |
| Moore County | 50 | 22.15% | 23.75% | 38.7% | 24.2% | 9.4% | 7% | $13,932 |
| Wayne County | 51 | 27.73% | 17.27% | 28.2% | 22.9% | 17.4% | 14.2% | $13,690 |
| Gates County | 52 | 27.37% | 22.68% | 34.2% | 28.2% | 12.6% | 10.9% | $13,643 |
| Warren County | 53 | 36.23% | 27.3% | 33.3% | 22.5% | 19.1% | 15.7% | $13,624 |
| Person County | 54 | 30% | 20.95% | 35.9% | 27.8% | 15.7% | 11.4% | $13,601 |
| Stokes County | 55 | 29.27% | 22.97% | 39.5% | 27.7% | 14.1% | 8.8% | $13,579 |
| Nash County | 56 | 26.71% | 19.49% | 32.6% | 26.4% | 16.5% | 12.6% | $13,546 |
| Pasquotank County | 57 | 28.33% | 18.57% | 29.8% | 24.3% | 14.8% | 12.6% | $13,383 |
| Caswell County | 58 | 32.3% | 23.49% | 38.5% | 24.2% | 16.5% | 12.6% | $13,292 |
| Burke County | 59 | 29.67% | 21.6% | 35.5% | 24% | 17.4% | 11% | $13,244 |
| Yadkin County | 60 | 27.69% | 21% | 36.5% | 29% | 14.8% | 9.7% | $13,141 |
| Lee County | 61 | 26.26% | 17% | 30.1% | 23.2% | 14.6% | 11.9% | $13,033 |
| Davie County | 62 | 21.39% | 22.16% | 39.6% | 28.8% | 11.7% | 9.7% | $12,958 |
| Hyde County | 63 | 26.58% | 24.61% | 33.5% | 25.6% | 14.5% | 12.6% | $12,915 |
| Alexander County | 64 | 26.74% | 20.44% | 37.3% | 25.8% | 14.5% | 9.7% | $12,846 |
| Catawba County | 65 | 23% | 18.72% | 36.5% | 25.2% | 14.8% | 10.6% | $12,724 |
| Dare County | 66 | 16.63% | 24.57% | 43.1% | 23.6% | 8.3% | 6.7% | $12,655 |
| Avery County | 67 | 27.65% | 23.67% | 38.7% | 22.1% | 14.4% | 9.3% | $12,622 |
| Stanly County | 68 | 26% | 19% | 35.7% | 27.4% | 15.7% | 10.8% | $12,575 |
| Montgomery County | 69 | 26.88% | 22.37% | 34.6% | 19.3% | 18.9% | 14.1% | $12,574 |
| Hoke County | 70 | 30.24% | 11.62% | 21.3% | 13.3% | 16.2% | 15% | $12,453 |
| Rowan County | 71 | 26.24% | 17.84% | 34.5% | 24.4% | 17.3% | 11.8% | $12,331 |
| Pender County | 72 | 24.69% | 18.19% | 34.2% | 23.8% | 13.8% | 9.8% | $12,319 |
| Randolph County | 73 | 26.34% | 18.29% | 35.3% | 26.8% | 15.7% | 12.3% | $12,314 |
| Buncombe County | 74 | 19.71% | 21.31% | 37.3% | 24.5% | 14.7% | 9.1% | $12,130 |
| Pitt County | 75 | 22.63% | 14.69% | 28.4% | 22.9% | 18.4% | 14.2% | $12,108 |
| New Hanover County | 76 | 19.6% | 19% | 37% | 25.7% | 12.7% | 8.6% | $11,942 |
| Gaston County | 77 | 23.94% | 16.56% | 33.5% | 26% | 18.1% | 12.7% | $11,893 |
| Jackson County | 78 | 26.39% | 20.4% | 34% | 23.3% | 18.6% | 8.7% | $11,841 |
| Chatham County | 79 | 14.82% | 25.47% | 47.9% | 27.9% | 9.5% | 6.8% | $11,821 |
| Davidson County | 80 | 24.18% | 18.99% | 37.7% | 23.7% | 16% | 12.1% | $11,732 |
| Forsyth County | 81 | 20.17% | 16.95% | 34.3% | 26.4% | 15.9% | 12% | $11,653 |
| Camden County | 82 | 20% | 17% | 32.9% | 26.1% | 9.2% | 7.4% | $11,398 |
| Alamance County | 83 | 23% | 17.13% | 35.3% | 26.6% | 16.4% | 11.8% | $11,282 |
| Harnett County | 84 | 25.15% | 13.71% | 26.8% | 24.9% | 15.3% | 13.2% | $11,114 |
| Lincoln County | 85 | 19% | 19.23% | 37.9% | 27.6% | 13.8% | 9.5% | $11,090 |
| Guilford County | 86 | 19.97% | 15.92% | 33.6% | 22.9% | 16.7% | 13.8% | $10,982 |
| Onslow County | 87 | 21.2% | 10.17% | 23.3% | 15.8% | 12.5% | 11.1% | $10,936 |
| Greene County | 88 | 27.69% | 17.58% | 31.9% | 19.5% | 20.2% | 16.6% | $10,789 |
| Currituck County | 89 | 17.88% | 17.28% | 35.7% | 24% | 8.6% | 7.5% | $10,619 |
| Granville County | 90 | 22.31% | 17.9% | 37.4% | 24.1% | 16.1% | 11.9% | $10,463 |
| Iredell County | 91 | 16.17% | 16.68% | 37% | 26.1% | 13.9% | 9% | $10,417 |
| Franklin County | 92 | 22% | 17.34% | 35.3% | 24.2% | 16.1% | 12.5% | $10,218 |
| Watauga County | 93 | 19.73% | 16.99% | 36.9% | 28.7% | 8.7% | 6.4% | $9,556 |
| Johnston County | 94 | 18.24% | 13.75% | 34.7% | 22.2% | 16.9% | 13% | $9,060 |
| Durham County | 95 | 15.27% | 14.56% | 34.4% | 22.9% | 18.1% | 13% | $9,022 |
| Cabarrus County | 96 | 16.47% | 13.58% | 34.7% | 25.4% | 15.8% | 11.6% | $9,017 |
| Mecklenburg County | 97 | 10.91% | 12% | 31.6% | 21.9% | 18.4% | 15% | $8,339 |
| Union County | 98 | 12.28% | 13.55% | 37% | 25.2% | 13.9% | 10.9% | $8,303 |
| Orange County | 99 | 10.5% | 16% | 42.4% | 24.1% | 12.2% | 8.8% | $8,141 |
| Wake County | 100 | 10% | 12.92% | 37.1% | 25.2% | 13.4% | 9.8% | $7,657 |
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