Goshen County: Medicaid made up 2.6% of total income in 2022

Goshen County: Medicaid made up 2.6% of total income in 2022
John Lettieri, President and CEO of Economic Innovation Group — Official Website
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In 2022, Medicaid transfers in Goshen County totaled $16.63 million, amounting to $1,324 per capita, or 10.1% 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 $58.79 million, equating to $4,680 per capita and making up 35.7% of total transfers.

Comparatively, Medicaid transfers across Wyoming amounted to $725.67 million, ranking second lowest among all transfer types within the state. This translates to an average of $1,248 per capita, or 11.5% of total government transfers. Including all transfer types, government transfer payments totaled $6.3 billion, accounting for 14.8% of residents’ total income, with an average of $10,831 per resident.

Medicare was the second largest contributor in Goshen County in 2022, accounting for $41.9 million, averaging $3,335 per capita, representing 25.5% of transfers. Income Maintenance transfers provided another $10.46 million, averaging $832 per capita and comprising 6.4% 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 23.9% of the population aged 65 and older, Goshen County has a significant demand for programs like Social Security and Medicare. Despite this aid, the total per capita income in Goshen County, excluding government transfers was $37,529, which is far below the county’s total income of $50,629, emphasizing the role of government transfers in overall income.

When comparing 2022 to the previous year, Goshen County saw an increase in its Medicaid transfer dependency by 0.6%, 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 Goshen County, reliance on government transfers has similarly increased from 8.8% (or $1,817 per capita) in 1970 to 25.9% (or $13,100 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.

Breakdown of Government Transfers by Program in Goshen County, 2022

2022 Wyoming County Rankings and Government Transfer Dependency Metrics
County Rank Dependency on Transfers (%) % Population 65+ Social Security Transfers (%) Medicare Transfers (%) Medicaid Transfers (%) Income Maintenance Transfers (%) Per Capita Transfers ($)
Laramie County 1 18.8% 17.4% 6.4% 4.3% 2.1% 1.3% $11,097
Natrona County 2 15.6% 17.2% 5.8% 3.6% 2.2% 1.3% $10,691
Fremont County 3 26.1% 20.1% 8.5% 5.3% 6.6% 2.1% $13,722
Park County 4 20.1% 25.1% 8.4% 5.1% 1.5% 1% $13,080
Campbell County 5 14.7% 13.1% 5.6% 3.2% 1.7% 1.1% $8,289
Sheridan County 6 18.2% 22.9% 7.2% 4.1% 1.4% 0.9% $12,133
Sweetwater County 7 15.8% 15% 6.5% 3.3% 1.8% 1.2% $9,235
Albany County 8 15.8% 13.3% 5.6% 3.6% 1.5% 0.9% $8,007
Uinta County 9 22.9% 16.9% 8.9% 5.2% 3.4% 1.8% $10,247
Lincoln County 10 16% 19.8% 6.6% 4.3% 1.1% 0.8% $10,093
Teton County 11 2% 17.7% 0.9% 0.5% 0.1% 0.1% $8,051
Goshen County 12 25.9% 23.9% 9.2% 6.6% 2.6% 1.6% $13,100
Converse County 13 17.3% 18.5% 6.3% 5% 1.6% 1.2% $11,396
Carbon County 14 15.3% 19% 5.9% 3.7% 1.2% 1.1% $10,250
Big Horn County 15 26.9% 21.7% 9.3% 6.9% 3.4% 1.8% $12,519
Platte County 16 25.8% 26.9% 9.6% 7.9% 1.8% 1.3% $14,313
Johnson County 17 19.3% 27.1% 8.7% 4.5% 1.3% 0.8% $11,977
Washakie County 18 23.4% 24% 9.5% 6.4% 2.5% 1.3% $12,935
Sublette County 19 16.7% 23.9% 7.1% 4.2% 0.7% 0.7% $10,272
Weston County 20 25.1% 22.6% 10.3% 6.8% 2% 1.2% $12,803
Crook County 21 19.6% 22.5% 8.5% 4.8% 1.2% 1% $11,272
Hot Springs County 22 22.3% 29.1% 8.7% 6.6% 2.7% 1.2% $15,872
Niobrara County 23 24% 26.8% 8.4% 8.4% 1.7% 1.6% $13,233


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