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Sunday, March 30, 2025

Summit County: Medicaid dependency reached 0.2% in 2022

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John Lettieri, President and CEO of Economic Innovation Group | Official Website

John Lettieri, President and CEO of Economic Innovation Group | Official Website

In 2022, Medicaid transfers in Summit County totaled $18 million, amounting to $418 per capita, or 6% 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 $147.16 million, equating to $3,419 per capita and making up 48.7% of total transfers.

Comparatively, Medicaid transfers across Utah amounted to $4.45 billion, ranking second lowest among all transfer types within the state. This translates to an average of $1,317 per capita, or 17.4% of total government transfers. Including all transfer types, government transfer payments totaled $25.53 billion, accounting for 12.7% of residents’ total income, with an average of $7,551 per resident.

Medicare was the second largest contributor in Summit County in 2022, accounting for $79.28 million, averaging $1,842 per capita, representing 26.2% of transfers. Income Maintenance transfers provided another $17.36 million, averaging $403 per capita and comprising 5.7% 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 15.6% of the population aged 65 and older, Summit County has a significant demand for programs like Social Security and Medicare. Despite this aid, the total per capita income in Summit County, excluding government transfers was $218,973, which is the county's total income of $225,996, emphasizing the role of government transfers in overall income.

When comparing 2022 to the previous year, Summit County saw no change in its Medicaid transfer dependency.

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 Summit County, reliance on government transfers decreased from 7% (or $1,628 per capita) in 1970 to 3.1% (or $7,022 per capita) in 2022.

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 Summit County, 2022

Social Security (48.7% or $147.16 million)Medicare (26.2% or $79.28 million)All Other Government Transfers (13.4% or $40.42 million)Medicaid (6% or $18 million)Income Maintenance (5.7% or $17.36 million)

2022 Utah County Rankings and Government Transfer Dependency Metrics
CountyRankDependency on Transfers (%)% Population 65+Social Security Transfers (%)Medicare Transfers (%)Medicaid Transfers (%)Income Maintenance Transfers (%)Per Capita Transfers ($)
Salt Lake County111.9%11.9%3.9%2.5%2.4%1.3%$7,872
Utah County210.6%7.9%3.3%2.1%2%1.5%$5,728
Davis County311.3%11.1%4%2.6%1.6%1.2%$6,554
Weber County416%12.4%4.9%3.6%2.8%2%$8,174
Washington County521%22.2%8.7%5.6%2%1.7%$10,642
Cache County614.2%10.1%4.5%3%2.3%1.9%$6,868
Iron County723.1%13.8%7.5%4.6%3.6%3%$9,153
Tooele County813.5%9.3%4.3%3.1%2%1.9%$6,275
Box Elder County916.6%12.9%6.2%3.8%2.5%2%$7,727
Sanpete County1024.5%14.5%8.1%5.3%4.7%2.8%$10,308
Summit County113.1%15.6%1.5%0.8%0.2%0.2%$7,022
Uintah County1221.6%12.4%7.5%4.6%3.5%3.5%$7,862
Carbon County1330.5%19.1%10.2%6.5%7.1%3.3%$13,812
Sevier County1426.2%17.1%9%5.9%5.2%2.9%$11,350
Wasatch County157.9%13.9%3.5%1.9%0.6%0.7%$6,578
Duchesne County1622.2%13.4%7.6%5%4%3%$10,153
San Juan County1730.5%15.2%7.6%6.3%7.8%6.2%$10,857
Millard County1821.6%17.4%7.7%5.1%3.6%2.6%$10,183
Grand County1917.5%20.4%5.9%4.2%3.4%1.6%$12,259
Emery County2029.2%17.8%11.6%6.5%5.1%2.9%$11,537
Juab County2118.1%11.9%5.6%3.9%3.9%2.1%$8,883
Kane County2222.3%23.6%9.7%5.7%2.2%1.7%$11,398
Beaver County2323.3%15.1%6.7%5.9%4.1%2.4%$11,102
Morgan County249.1%12.5%3.9%2.4%0.4%0.6%$6,199
Garfield County2520.3%23.1%7.8%5.2%2.7%1.9%$11,323
Wayne County2623.3%23.1%9.5%5.6%2.1%2.3%$11,823
Piute County2724.4%29.3%8.3%6.3%5.3%2.1%$15,964
Rich County2819.2%20.4%8.3%3.8%1.9%2%$8,683
Daggett County2924.7%26.2%11.7%7.2%0.8%1.6%$11,542

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