2022: Dorchester County aging and government transfer dependency trends

John Lettieri, President and CEO of Economic Innovation Group - Official Website
John Lettieri, President and CEO of Economic Innovation Group - Official Website
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In 2022, Dorchester County received $2 billion in government transfer payments, equivalent to $11,830 per capita.

These payments—which include Social Security, Medicare, Medicaid, and income maintenance—accounted for 24.8% 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 19.1% 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 Dorchester County primarily focused on older adults—such as Social Security transfers, which totaled $585.9 million (29.8% of all transfer income), and Medicare, which accounted for $639 million (32.5%)—played a significant role in the county’s overall income.

On a per capita basis, Social Security payments rose from $2,696 in 2012 and $613 in 1970 to $3,527 in 2022, reflecting a 30.8% increase over the past decade and a 475.4% shift since 1970.

Similarly, Medicare transfers climbed from $1,750 in 2012 and $111 in 1970 to $3,846, marking 119.8% and 3,364.9% 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 15.2% of the total population, compared to 11.1% in 2012 and 6.1% 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 Dorchester County excluding public assistance amounted to $35,946 per capita in 2022, compared to $47,776 when government transfers were included.

Breaking down the other contributions in the county, Medicaid transfers made up $203.8 million, a 10.4% share of total income, while income maintenance programs, including assistance such as SNAP or TANF, added another $191.7 million, or 9.8% of the total.

Compared to the previous year, Dorchester County’s reliance on government transfers decreased by 3.4%.

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.

Breakdown of Government Transfers by Program in Dorchester County, 2022

2022 South Carolina County Rankings by Per Capita 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 ($)
McCormick County 1 41.85% 39.12% 43.5% 28.8% 10.1% 6.6% $19,290
Allendale County 2 42.31% 22.8% 27.4% 26.1% 22.8% 16.1% $17,191
Clarendon County 3 37.28% 25% 32.2% 27.3% 16.3% 12.4% $16,889
Georgetown County 4 28.5% 30.83% 43% 28% 10.1% 8.6% $16,295
Marion County 5 39.46% 21.65% 30.1% 24.5% 19.4% 16.2% $16,221
Fairfield County 6 32.39% 24.24% 33.4% 24% 18.2% 12.6% $16,217
Bamberg County 7 39.77% 24.25% 30.5% 23.3% 20.1% 14.6% $15,906
Colleton County 8 37.25% 20.56% 30.6% 29.4% 15.6% 13% $15,655
Lee County 9 38% 20.72% 30.3% 22.9% 21.9% 15.1% $15,593
Dillon County 10 39.71% 17.8% 27.3% 25.3% 20.2% 18% $15,532
Laurens County 11 35.56% 18.98% 31.3% 30% 18.5% 11.1% $15,193
Orangeburg County 12 36.61% 21% 30.7% 25.2% 17.7% 14.5% $15,043
Union County 13 39% 21.64% 35.9% 27.3% 15.4% 12.5% $14,885
Williamsburg County 14 38.41% 22.74% 32.4% 19.3% 20.5% 16.5% $14,765
Hampton County 15 36.49% 19.82% 31.2% 24.1% 18.1% 14.9% $14,735
Barnwell County 16 37.47% 19.52% 29.1% 25.4% 19.9% 16.2% $14,685
Horry County 17 31.15% 26.28% 42.6% 29.3% 7% 7.5% $14,637
Darlington County 18 30.57% 19.74% 33.7% 24.3% 17% 14.5% $14,583
Marlboro County 19 38% 19.41% 30.4% 26.1% 17.9% 16% $14,387
Chester County 20 33.78% 19.59% 34.4% 26.2% 15% 14.1% $13,987
Sumter County 21 30% 17.74% 28.6% 21.7% 14.7% 14.3% $13,982
Oconee County 22 25.55% 24.78% 41.9% 28.2% 10.4% 8.4% $13,905
Kershaw County 23 26.25% 19% 33% 24.5% 11% 10.2% $13,853
Florence County 24 26.5% 17.93% 30.4% 25% 19.2% 13.8% $13,791
Beaufort County 25 18.97% 28.48% 45.8% 29.1% 5.6% 6.2% $13,685
Newberry County 26 28.78% 20.69% 36.2% 27.1% 13.9% 11.4% $13,661
Abbeville County 27 34.11% 22.99% 37.5% 24.6% 13.7% 11.2% $13,588
Edgefield County 28 27.45% 20.25% 33.2% 32% 9.9% 10.4% $13,486
Greenwood County 29 30.66% 19.46% 35.2% 25.6% 13.5% 12.3% $13,421
Calhoun County 30 26.87% 24.66% 39.3% 21.3% 16.5% 11.8% $13,341
Chesterfield County 31 33.54% 19.46% 33.9% 24.2% 16.9% 14.2% $13,083
Aiken County 32 24.29% 20.86% 39.3% 24.4% 12.2% 11% $12,534
Cherokee County 33 32.12% 17.5% 36% 25.8% 13.9% 13.7% $12,442
Lancaster County 34 22.22% 21.64% 41.2% 29.3% 9% 9.1% $12,236
Jasper County 35 29.56% 23.37% 44.5% 20.2% 10.8% 12.5% $12,162
Anderson County 36 25.23% 18.35% 37.5% 27% 11.9% 11.1% $12,034
Dorchester County 37 24.76% 15.17% 29.8% 32.5% 10.4% 9.8% $11,830
Saluda County 38 25.97% 20.84% 41.2% 17.2% 17.8% 13.4% $11,397
Pickens County 39 24.4% 17.31% 37.1% 29.1% 11.1% 9.2% $11,183
Richland County 40 20.41% 14% 30.7% 19.8% 14.1% 12.4% $11,015
Lexington County 41 19.13% 17% 37.2% 25.5% 10.8% 10.4% $10,916
Spartanburg County 42 20.54% 16.24% 36.8% 25.5% 12.7% 12.5% $10,810
Greenville County 43 18.12% 16.71% 38.7% 25.7% 12% 10.5% $10,268
Charleston County 44 13.26% 17.94% 37.5% 25.8% 12.7% 9.4% $10,152
York County 45 15.99% 15.39% 39.5% 25.4% 10.4% 10.3% $9,432
Berkeley County 46 17.91% 14.97% 36.5% 20.1% 9.9% 12% $9,080


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