In 2022, Medicaid transfers in Rockingham County totaled $220.14 million, amounting to $2,394 per capita, or 16.5% of total government transfers, according to information from the Economic Innovation Group.
Among all government transfer programs, Medicaid was the second smallest contributor in the county. Social Security was the largest contributor, totaling $468.87 million, equating to $5,099 per capita and making up 35.2% of total transfers.
Comparatively, Medicaid transfers across North Carolina amounted to $19.35 billion, ranking second lowest among all transfer types within the state. This translates to an average of $1,808 per capita, or 15.7% of total government transfers. Including all transfer types, government transfer payments totaled $122.94 billion, accounting for 19.8% of residents’ total income, with an average of $11,491 per resident.
Medicare was the second largest contributor in Rockingham County in 2022, accounting for $368.53 million, averaging $4,008 per capita, representing 27.6% of transfers. Income Maintenance transfers provided another $152.1 million, averaging $1,654 per capita and comprising 11.4% of government support, making them the smallest contributors.
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 21.3% of the population aged 65 and older, Rockingham County has a significant demand for programs like Social Security and Medicare. Despite this aid, the total per capita income in Rockingham County, excluding government transfers was $30,826, which is far below the county’s total income of $45,332, emphasizing the role of government transfers in overall income.
When comparing 2022 to the previous year, Rockingham County saw an increase in its Medicaid transfer dependency by 0.1%, 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 Rockingham County, reliance on government transfers has similarly increased from 7.9% (or $1,607 per capita) in 1970 to 32% (or $14,506 per capita) in 2022, reflecting broader national trends.
According to the Economic Innovation Group’s analysis, these trends are not merely short-term responses to economic pressures but rather reflect a profound, long-term transformation in how government support is integrated into American life. The study illustrates that structural shifts—from rising healthcare expenses and demographic changes to stagnant wages—have significantly increased dependency on government transfers.
| County | Rank | Dependency on Transfers (%) | % Population 65+ | Social Security Transfers (%) | Medicare Transfers (%) | Medicaid Transfers (%) | Income Maintenance Transfers (%) | Per Capita Transfers ($) |
|---|---|---|---|---|---|---|---|---|
| Mecklenburg County | 1 | 10.9% | 12% | 3.4% | 2.4% | 2% | 1.6% | $8,339 |
| Wake County | 2 | 10% | 12.9% | 3.7% | 2.5% | 1.3% | 1% | $7,657 |
| Guilford County | 3 | 20% | 15.9% | 6.7% | 4.6% | 3.3% | 2.8% | $10,982 |
| Cumberland County | 4 | 31% | 13% | 6.8% | 4.9% | 5.1% | 4.3% | $14,252 |
| Forsyth County | 5 | 20.2% | 17% | 6.9% | 5.3% | 3.2% | 2.4% | $11,653 |
| Buncombe County | 6 | 19.7% | 21.3% | 7.4% | 4.8% | 2.9% | 1.8% | $12,130 |
| Durham County | 7 | 15.3% | 14.6% | 5.3% | 3.5% | 2.8% | 2% | $9,022 |
| New Hanover County | 8 | 19.6% | 19.1% | 7.3% | 5% | 2.5% | 1.7% | $11,942 |
| Gaston County | 9 | 23.9% | 16.6% | 8% | 6.2% | 4.3% | 3% | $11,893 |
| Brunswick County | 10 | 29.3% | 33.7% | 13.4% | 8.2% | 2.4% | 1.6% | $17,083 |
| Onslow County | 11 | 21.2% | 10.2% | 4.9% | 3.3% | 2.7% | 2.4% | $10,936 |
| Johnston County | 12 | 18.2% | 13.8% | 6.3% | 4.1% | 3.1% | 2.4% | $9,060 |
| Cabarrus County | 13 | 16.5% | 13.6% | 5.7% | 4.2% | 2.6% | 1.9% | $9,017 |
| Pitt County | 14 | 22.6% | 14.7% | 6.4% | 5.2% | 4.2% | 3.2% | $12,108 |
| Catawba County | 15 | 23% | 18.7% | 8.4% | 5.8% | 3.4% | 2.4% | $12,724 |
| Union County | 16 | 12.3% | 13.6% | 4.5% | 3.1% | 1.7% | 1.3% | $8,303 |
| Iredell County | 17 | 16.2% | 16.7% | 6% | 4.2% | 2.2% | 1.5% | $10,417 |
| Davidson County | 18 | 24.2% | 19% | 9.1% | 5.7% | 3.9% | 2.9% | $11,732 |
| Alamance County | 19 | 23% | 17.1% | 8.1% | 6.1% | 3.8% | 2.7% | $11,282 |
| Robeson County | 20 | 40.8% | 16.1% | 9.3% | 9.1% | 9.5% | 7.5% | $16,746 |
| Rowan County | 21 | 26.2% | 17.8% | 9% | 6.4% | 4.5% | 3.1% | $12,331 |
| Randolph County | 22 | 26.3% | 18.3% | 9.3% | 7.1% | 4.1% | 3.2% | $12,314 |
| Henderson County | 23 | 25.8% | 26.4% | 10.8% | 7.2% | 2.9% | 1.8% | $14,228 |
| Wayne County | 24 | 27.7% | 17.3% | 7.8% | 6.4% | 4.8% | 3.9% | $13,690 |
| Harnett County | 25 | 25.2% | 13.7% | 6.7% | 6.3% | 3.9% | 3.3% | $11,114 |
| Craven County | 26 | 27.2% | 21.1% | 8.8% | 6.7% | 3.2% | 2.6% | $14,750 |
| Moore County | 27 | 22.2% | 23.8% | 8.6% | 5.4% | 2.1% | 1.5% | $13,932 |
| Cleveland County | 28 | 31.9% | 19% | 10.5% | 7.7% | 6.3% | 4.3% | $14,377 |
| Rockingham County | 29 | 32% | 21.3% | 11.2% | 8.8% | 5.3% | 3.6% | $14,506 |
| Nash County | 30 | 26.7% | 19.5% | 8.7% | 7% | 4.4% | 3.4% | $13,546 |
| Orange County | 31 | 10.5% | 16.1% | 4.5% | 2.5% | 1.3% | 0.9% | $8,141 |
| Wilson County | 32 | 30.6% | 19.2% | 10% | 7.9% | 5.4% | 4.1% | $14,934 |
| Burke County | 33 | 29.7% | 21.6% | 10.5% | 7.1% | 5.2% | 3.3% | $13,244 |
| Caldwell County | 34 | 31.5% | 21.1% | 10.5% | 8.1% | 5.4% | 3.4% | $14,076 |
| Carteret County | 35 | 24.3% | 27% | 9% | 6.7% | 2.4% | 1.6% | $15,421 |
| Lincoln County | 36 | 19.1% | 19.2% | 7.2% | 5.3% | 2.6% | 1.8% | $11,090 |
| Surry County | 37 | 28.8% | 21.1% | 9.6% | 8.1% | 4.7% | 3.2% | $14,023 |
| Haywood County | 38 | 30.5% | 25.5% | 11.5% | 8% | 4.3% | 2.6% | $15,500 |
| Wilkes County | 39 | 31% | 23% | 10.9% | 8.3% | 5.1% | 3.7% | $14,698 |
| Rutherford County | 40 | 34.6% | 22.3% | 11.9% | 8.5% | 5.9% | 4.2% | $14,732 |
| Chatham County | 41 | 14.8% | 25.5% | 7.1% | 4.1% | 1.4% | 1% | $11,821 |
| Lenoir County | 42 | 31.5% | 21.5% | 9.3% | 7.8% | 6.1% | 4.4% | $16,077 |
| Lee County | 43 | 26.3% | 17% | 7.9% | 6.1% | 3.8% | 3.1% | $13,033 |
| Halifax County | 44 | 39.3% | 22% | 11.8% | 10.1% | 7.4% | 6.1% | $17,613 |
| Sampson County | 45 | 29.8% | 18.2% | 8.9% | 7.3% | 5.6% | 4.3% | $13,970 |
| Columbus County | 46 | 37.5% | 20.8% | 11.3% | 9.5% | 7.1% | 5.4% | $16,523 |
| Pender County | 47 | 24.7% | 18.2% | 8.5% | 5.9% | 3.4% | 2.4% | $12,319 |
| Stanly County | 48 | 26.1% | 19.1% | 9.3% | 7.1% | 4.1% | 2.8% | $12,575 |
| Edgecombe County | 49 | 37.1% | 21.2% | 10.5% | 7.6% | 8.5% | 6.7% | $16,139 |
| Franklin County | 50 | 22.1% | 17.3% | 7.8% | 5.3% | 3.6% | 2.8% | $10,218 |
| Beaufort County | 51 | 31.2% | 25.7% | 11.3% | 7.8% | 4.8% | 3.4% | $17,004 |
| Richmond County | 52 | 36.7% | 18.2% | 9.7% | 8.9% | 7.5% | 5.6% | $16,866 |
| Vance County | 53 | 38.6% | 19.5% | 10.8% | 9.4% | 8.8% | 6.5% | $16,730 |
| Duplin County | 54 | 27% | 20% | 7.7% | 6.9% | 4.9% | 3.8% | $14,246 |
| McDowell County | 55 | 34.3% | 21.6% | 11.5% | 8.6% | 6.2% | 3.8% | $15,084 |
| Hoke County | 56 | 30.2% | 11.6% | 6.4% | 4% | 4.9% | 4.5% | $12,453 |
| Granville County | 57 | 22.3% | 17.9% | 8.3% | 5.4% | 3.6% | 2.7% | $10,463 |
| Stokes County | 58 | 29.3% | 23% | 11.6% | 8.1% | 4.1% | 2.6% | $13,579 |
| Macon County | 59 | 31.9% | 28.7% | 12.6% | 8.5% | 3.9% | 2.5% | $15,420 |
| Davie County | 60 | 21.4% | 22.2% | 8.5% | 6.2% | 2.5% | 2.1% | $12,958 |
| Pasquotank County | 61 | 28.3% | 18.6% | 8.4% | 6.9% | 4.2% | 3.6% | $13,383 |
| Scotland County | 62 | 38.6% | 18.3% | 11.2% | 8.5% | 8.4% | 6.6% | $15,853 |
| Person County | 63 | 30% | 21% | 10.8% | 8.4% | 4.7% | 3.4% | $13,601 |
| Watauga County | 64 | 19.7% | 17% | 7.3% | 5.7% | 1.7% | 1.3% | $9,556 |
| Transylvania County | 65 | 27.6% | 31.7% | 11.5% | 7% | 3.4% | 2.3% | $15,268 |
| Jackson County | 66 | 26.4% | 20.4% | 9% | 6.2% | 4.9% | 2.3% | $11,841 |
| Cherokee County | 67 | 42.5% | 31.7% | 16.7% | 10.9% | 5.7% | 3.3% | $17,000 |
| Bladen County | 68 | 35.2% | 23.7% | 10.5% | 9.3% | 6.6% | 4.9% | $17,034 |
| Yadkin County | 69 | 27.7% | 21.1% | 10.1% | 8% | 4.1% | 2.7% | $13,141 |
| Dare County | 70 | 16.6% | 24.6% | 7.2% | 3.9% | 1.4% | 1.1% | $12,655 |
| Alexander County | 71 | 26.7% | 20.4% | 10% | 6.9% | 3.9% | 2.6% | $12,846 |
| Ashe County | 72 | 33% | 27.4% | 12.4% | 8.7% | 4.7% | 3% | $14,667 |
| Martin County | 73 | 40.9% | 25.8% | 12.7% | 11.6% | 6.8% | 5% | $17,387 |
| Anson County | 74 | 31.8% | 20.1% | 9.2% | 8.1% | 6.9% | 4.7% | $15,957 |
| Currituck County | 75 | 17.9% | 17.3% | 6.4% | 4.3% | 1.5% | 1.3% | $10,619 |
| Polk County | 76 | 26.6% | 32.4% | 11.1% | 7.4% | 3.2% | 1.8% | $16,335 |
| Montgomery County | 77 | 26.9% | 22.4% | 9.3% | 5.2% | 5.1% | 3.8% | $12,574 |
| Hertford County | 78 | 37.3% | 22.5% | 11.2% | 9.4% | 7.2% | 5.5% | $15,494 |
| Northampton County | 79 | 38.9% | 29.7% | 12.6% | 10.8% | 6.5% | 5.4% | $18,538 |
| Bertie County | 80 | 36.2% | 25.4% | 11.3% | 10% | 6.9% | 5% | $17,898 |
| Madison County | 81 | 31.5% | 23.1% | 10.9% | 7.9% | 5.1% | 3.1% | $14,018 |
| Caswell County | 82 | 32.3% | 23.5% | 12.4% | 7.8% | 5.3% | 4.1% | $13,292 |
| Yancey County | 83 | 35.9% | 26.5% | 13.3% | 9.5% | 5.4% | 3.2% | $15,092 |
| Warren County | 84 | 36.2% | 27.3% | 12.1% | 8.2% | 6.9% | 5.7% | $13,624 |
| Swain County | 85 | 35.4% | 19.9% | 9.9% | 9.6% | 9.2% | 3.1% | $18,236 |
| Mitchell County | 86 | 33.7% | 25.4% | 12.4% | 8.4% | 5.3% | 3% | $14,804 |
| Avery County | 87 | 27.7% | 23.7% | 10.7% | 6.1% | 4% | 2.6% | $12,622 |
| Chowan County | 88 | 30.9% | 26% | 11% | 8.2% | 4.7% | 3.5% | $15,782 |
| Greene County | 89 | 27.7% | 17.6% | 8.8% | 5.4% | 5.6% | 4.6% | $10,789 |
| Perquimans County | 90 | 29.9% | 28.1% | 10.9% | 8.2% | 3.8% | 2.8% | $15,975 |
| Washington County | 91 | 41.9% | 28% | 13.3% | 10.9% | 7.5% | 5.6% | $19,018 |
| Pamlico County | 92 | 31.5% | 31.8% | 12.8% | 8.2% | 3.6% | 2.4% | $16,459 |
| Clay County | 93 | 39.3% | 33.5% | 16.3% | 10.1% | 4.7% | 3% | $17,203 |
| Alleghany County | 94 | 35.6% | 28.3% | 13% | 9.9% | 4.8% | 3.2% | $15,839 |
| Jones County | 95 | 32.8% | 24.4% | 10.1% | 6% | 4.9% | 3.8% | $15,912 |
| Gates County | 96 | 27.4% | 22.7% | 9.4% | 7.7% | 3.4% | 3% | $13,643 |
| Camden County | 97 | 20% | 17% | 6.6% | 5.2% | 1.8% | 1.5% | $11,398 |
| Graham County | 98 | 36.8% | 24.8% | 11.9% | 8.5% | 8.4% | 3.9% | $15,201 |
| Hyde County | 99 | 26.6% | 24.6% | 8.9% | 6.8% | 3.9% | 3.4% | $12,915 |
| Tyrrell County | 100 | 32.7% | 24.2% | 9.8% | 8.9% | 4.7% | 4.6% | $14,737 |
