In 2022, Lewis County received $89.2 million in government transfer payments, equivalent to $23,712 per capita.
These payments—which include Social Security, Medicare, Medicaid, and income maintenance—accounted for 39.2% of all personal income in the county, according to information from the Economic Innovation Group.
This marks a significant increase in the county’s reliance on government transfers compared to 2012, when such payments made up 33.5% of total income. Since then, the share has risen by 5.7%.
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 Lewis County primarily focused on older adults—such as Social Security transfers, which totaled $28.1 million (31.4% of all transfer income), and Medicare, which accounted for $26.7 million (29.9%)—played a significant role in the county’s overall income.
On a per capita basis, Social Security payments rose from $8,163 in 2012 and $1,467 in 1970 to $7,456 in 2022, reflecting a -8.7% increase over the past decade and a 408.2% shift since 1970.
In the meantime, Medicare transfers climbed from $5,007 in 2012 and $258 in 1970 to $7,100, marking 41.8% and 2,651.9% 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 28.3% of the total population, compared to 22.9% in 2012 and 11.5% 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 Lewis County excluding public assistance amounted to $36,768 per capita in 2022, compared to $60,480 when government transfers were included.
Breaking down the other contributions in the county, Medicaid transfers made up $15.9 million, a 17.8% share of total income, while income maintenance programs, including assistance such as SNAP or TANF, added another $8.2 million, or 9.1% of the total.
Compared to the previous year, Lewis County’s reliance on government transfers decreased by 2.4%.
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 $11,529 per capita) in 2022 nationwide.
According to the Economic Innovation Group’s analysis, these trends are not merely short-term responses to economic pressures but rather reflect a profound, long-term transformation in how government support is integrated into American life. The study illustrates that structural shifts—from rising healthcare expenses and demographic changes to stagnant wages—have significantly increased dependency on government transfers.
| County | State Rank (Per Capita Transfers) | Dependency on Transfers (%) | % Population 65+ | Social Security Transfers (%) | Medicare Transfers (%) | Medicaid Transfers (%) | Income Maintenance Transfers (%) | Per Capita Transfers ($) |
|---|---|---|---|---|---|---|---|---|
| Lewis County | 1 | 39.21% | 28.3% | 31.4% | 29.9% | 17.8% | 9.1% | $23,712 |
| Lemhi County | 2 | 30.45% | 31.45% | 37.4% | 26.6% | 15.4% | 7.7% | $16,460 |
| Clearwater County | 3 | 35.75% | 28.99% | 39.4% | 26.8% | 13.9% | 7.6% | $15,567 |
| Shoshone County | 4 | 31.85% | 23.36% | 37.4% | 24.9% | 18.8% | 9.9% | $14,430 |
| Custer County | 5 | 27.13% | 30.79% | 42.6% | 26.3% | 10.8% | 8.1% | $13,931 |
| Washington County | 6 | 31.59% | 25.72% | 38.1% | 25.6% | 14.4% | 10.6% | $13,714 |
| Butte County | 7 | 25.46% | 25.61% | 36.9% | 29.5% | 13.2% | 10.5% | $13,668 |
| Benewah County | 8 | 30.99% | 23.41% | 38.8% | 25.9% | 14.4% | 9.9% | $13,500 |
| Idaho County | 9 | 29.44% | 28.87% | 41.2% | 24% | 13% | 8.9% | $13,047 |
| Boundary County | 10 | 28.63% | 23% | 37.8% | 23.4% | 14.1% | 10% | $12,998 |
| Gem County | 11 | 27.39% | 22.87% | 37.2% | 23.8% | 19% | 9.6% | $12,846 |
| Nez Perce County | 12 | 23.16% | 21.14% | 38.2% | 25% | 15.6% | 9.2% | $12,605 |
| Adams County | 13 | 28.78% | 31.27% | 44.8% | 24.8% | 7.9% | 8.8% | $12,587 |
| Bear Lake County | 14 | 25.36% | 21% | 35.1% | 25.4% | 18.1% | 9.7% | $12,303 |
| Boise County | 15 | 22.87% | 28.48% | 47.9% | 19.9% | 10.6% | 8.2% | $12,264 |
| Bonner County | 16 | 23.11% | 26.21% | 43.3% | 23.4% | 11.5% | 9% | $12,012 |
| Oneida County | 17 | 25.62% | 20.38% | 34.8% | 30.7% | 15.1% | 10.5% | $11,965 |
| Valley County | 18 | 18% | 27.17% | 44.2% | 28.9% | 8.3% | 7.3% | $11,643 |
| Bannock County | 19 | 24.37% | 15.27% | 28.9% | 22.3% | 21.4% | 12.1% | $11,567 |
| Lincoln County | 20 | 22.35% | 15% | 26% | 34.7% | 18.3% | 12.1% | $11,553 |
| Gooding County | 21 | 15.7% | 18.67% | 31.3% | 24.7% | 23.1% | 12.5% | $11,453 |
| Kootenai County | 22 | 18.87% | 19.89% | 39.9% | 25.2% | 13.2% | 9.2% | $11,409 |
| Payette County | 23 | 23.38% | 19.47% | 36.9% | 24.2% | 16.9% | 12.3% | $11,375 |
| Caribou County | 24 | 22.17% | 18.22% | 37.8% | 27.3% | 14.5% | 10.5% | $10,742 |
| Elmore County | 25 | 24.5% | 14.85% | 28.7% | 17.7% | 16.8% | 13% | $10,611 |
| Twin Falls County | 26 | 21.46% | 16.59% | 33.6% | 22.4% | 20.8% | 12.9% | $10,519 |
| Fremont (includes Yellowstone Park) County | 27 | 22% | 17.92% | 35.2% | 21.4% | 18.2% | 12.9% | $10,277 |
| Bingham County | 28 | 21.86% | 15.21% | 32.1% | 24.3% | 20.1% | 14.1% | $10,256 |
| Owyhee County | 29 | 21% | 18.55% | 34.7% | 19.7% | 22.1% | 14.9% | $10,160 |
| Camas County | 30 | 16.1% | 24.64% | 44.9% | 25% | 9.1% | 10.6% | $9,957 |
| Blaine County | 31 | 5.94% | 22.73% | 45.5% | 29.4% | 8.8% | 7.6% | $9,846 |
| Bonneville County | 32 | 15.62% | 13.83% | 31.5% | 22.2% | 22.4% | 13.6% | $9,841 |
| Power County | 33 | 20.54% | 16.83% | 33.7% | 22.1% | 19.9% | 15.7% | $9,782 |
| Canyon County | 34 | 21.49% | 14.53% | 32.3% | 20.5% | 22% | 13.9% | $9,757 |
| Minidoka County | 35 | 19.81% | 16% | 33.8% | 21.6% | 20.8% | 15% | $9,498 |
| Cassia County | 36 | 17.37% | 14.48% | 32.2% | 22.3% | 22.1% | 15.1% | $9,491 |
| Ada County | 37 | 13.55% | 16.19% | 38.7% | 21.5% | 16.5% | 10.4% | $9,155 |
| Latah County | 38 | 17.15% | 14.89% | 37.7% | 23.3% | 14.3% | 10.6% | $9,028 |
| Franklin County | 39 | 20.32% | 14.58% | 35% | 24.7% | 16.1% | 13.6% | $8,997 |
| Jerome County | 40 | 19% | 13.53% | 31.3% | 22.4% | 21% | 16.5% | $8,698 |
| Jefferson County | 41 | 17.31% | 12.36% | 34.3% | 20.6% | 16.7% | 15.6% | $7,854 |
| Clark County | 42 | 16.19% | 20.62% | 34% | 24.7% | 13.3% | 17.5% | $7,653 |
| Teton County | 43 | 11.85% | 14.14% | 35.5% | 25.5% | 13.5% | 11.7% | $7,372 |
| Madison County | 44 | 21.77% | 5.6% | 19.8% | 13.9% | 17.1% | 15.7% | $6,059 |
