Jerauld County: Medicare made up 10.1% of total income in 2022

Jerauld County: Medicare made up 10.1% of total income in 2022
John Lettieri, President and CEO of Economic Innovation Group — Official Website
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In 2022, Medicare transfers in Jerauld County totaled $12.15 million, amounting to $7,366 per capita, or 40.9% of total government transfers, according to information from the Economic Innovation Group.

Among all government transfer programs, Medicare was the largest contributor in the county. Social Security was the second largest contributor, totaling $10.33 million, equating to $6,260 per capita and making up 34.7% of total transfers.

Comparatively, Medicare transfers across South Dakota amounted to $2.39 billion, ranking second highest among all transfer types within the state. This translates to an average of $2,629 per capita, or 24.5% of total government transfers. Including all transfer types, government transfer payments totaled $9.75 billion, accounting for 15.7% of residents’ total income, with an average of $10,713 per resident.

Income Maintenance was the third largest contributor in Jerauld County in 2022, accounting for $2.57 million, averaging $1,555 per capita, representing 8.6% of transfers. Medicaid transfers provided another $2.2 million, averaging $1,335 per capita and comprising 7.4% 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 29.9% of the population aged 65 and older, Jerauld County has a significant demand for programs like Social Security and Medicare. Despite this aid, the total per capita income in Jerauld County, excluding government transfers was $55,004, which is noticeably below the county’s total income of $73,021, emphasizing the role of government transfers in overall income.

When comparing 2022 to the previous year, Jerauld County saw a decrease in its Medicare transfer dependency by 0.2%.

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 Jerauld County, reliance on government transfers has similarly increased from 11.1% (or $2,046 per capita) in 1970 to 24.7% (or $18,017 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 Jerauld County, 2022

2022 South Dakota 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 ($)
Minnehaha County 1 13.2% 13.8% 5.1% 3.2% 1.8% 1.6% $9,501
Pennington County 2 18.8% 20.1% 7% 4.5% 2% 1.9% $13,016
Lincoln County 3 7.2% 14.7% 3.3% 2.1% 0.3% 0.6% $6,016
Brown County 4 14.2% 18.2% 5.3% 3.8% 1.7% 1.6% $10,173
Lawrence County 5 18.2% 24.2% 7.3% 4.6% 1.5% 1.6% $12,355
Meade County 6 18.5% 17% 6.8% 4% 1.4% 2.1% $9,884
Codington County 7 15.4% 19.6% 5.8% 4.2% 1.7% 1.7% $10,402
Brookings County 8 13.2% 13.7% 5.1% 3% 1.3% 1.6% $7,422
Yankton County 9 16.1% 21.6% 6.1% 4% 2.4% 1.8% $10,995
Davison County 10 18.1% 20.6% 6.4% 4.5% 2.7% 2.2% $11,263
Oglala Lakota County 11 45% 7.6% 4.1% 5% 16.3% 14.3% $16,063
Beadle County 12 18.1% 17.5% 5.9% 4.6% 3.3% 2.7% $10,542
Hughes County 13 16.3% 18.6% 5.9% 4.3% 2.2% 1.8% $10,433
Union County 14 7.4% 19.2% 3.4% 2% 0.5% 0.6% $9,048
Todd County 15 42.4% 7.9% 4.6% 5.4% 13.9% 13.4% $15,184
Fall River County 16 34% 30.9% 10.8% 7.5% 3.3% 2.9% $18,578
Custer County 17 23.2% 33.3% 9.5% 6% 1.4% 1.6% $14,538
Butte County 18 24.4% 20.5% 8.4% 5.9% 2.8% 3.3% $11,679
Clay County 19 17% 12.6% 5.5% 3.3% 2.7% 2.6% $8,230
Roberts County 20 23.1% 20.9% 7.3% 4.7% 4% 3.9% $12,054
Lake County 21 15% 24.9% 5.9% 4% 1.6% 1.5% $10,999
Charles Mix County 22 23.5% 18.8% 5.9% 5.9% 4.6% 4.3% $12,675
Spink County 23 20.8% 24.4% 5% 4.4% 8.5% 1.4% $18,057
Grant County 24 17.4% 24.2% 6.7% 5.1% 1.8% 1.5% $12,264
Turner County 25 14.5% 19.9% 5.5% 4.1% 1.8% 1.4% $10,318
Hutchinson County 26 15.9% 21.5% 6% 4.4% 2% 1.6% $11,636
Day County 27 20.6% 26.9% 6.8% 6.3% 2.3% 2.2% $14,712
Dewey County 28 27.8% 10.1% 4.4% 4.5% 7.4% 7.9% $15,130
Tripp County 29 20.7% 24.1% 6% 4.6% 4.7% 2.9% $13,620
Walworth County 30 22.6% 24.4% 7.8% 5.7% 3.4% 2.7% $14,174
Bon Homme County 31 19.2% 21.4% 7.1% 5.6% 1.9% 2.1% $10,466
Kingsbury County 32 16.5% 23% 6.4% 5.4% 1.3% 1.5% $12,245
Moody County 33 14.9% 20% 6% 4% 1.1% 1.8% $9,890
McCook County 34 14.5% 18.5% 5.4% 3.8% 2.4% 1.5% $10,622
Hamlin County 35 14.5% 14.4% 5.2% 3.6% 1.8% 1.8% $9,225
Brule County 36 16.5% 20.6% 5.1% 3.3% 3.9% 2.1% $10,627
Gregory County 37 23.4% 26.2% 7.5% 6.7% 2.9% 3.2% $14,244
Marshall County 38 15.1% 23% 5.8% 4.4% 1.6% 1.6% $11,217
Corson County 39 30.8% 13.3% 4.9% 4.3% 8.2% 9.7% $12,764
Deuel County 40 16.6% 22.2% 6.7% 5% 1.3% 1.6% $10,917
Bennett County 41 28.7% 14.3% 4.8% 4.5% 8.4% 7.5% $13,953
Hanson County 42 16.6% 16.2% 8.4% 5.2% 0.3% 1.2% $13,071
Lyman County 43 19.9% 18.4% 5.7% 3.4% 4.2% 4% $11,518
Edmunds County 44 11.1% 23.2% 4.2% 3.3% 1.3% 1.1% $10,258
Jackson County 45 31.5% 13.4% 5.6% 6.1% 7.6% 7.8% $13,928
Clark County 46 12.9% 23.6% 5% 3.1% 1.2% 1.6% $9,922
Perkins County 47 24.1% 26.5% 8.2% 6.7% 3.1% 2.6% $13,042
Douglas County 48 17.8% 24.3% 6% 5.8% 2.4% 1.8% $13,152
Stanley County 49 13.9% 22.8% 6.2% 3.7% 0.6% 1.2% $11,371
Hand County 50 12.7% 25.3% 5% 4.1% 1.2% 1.2% $10,857
Potter County 51 15.4% 27.5% 5.5% 5.6% 1.6% 1.1% $13,023
McPherson County 52 17.6% 30.3% 6.4% 5.8% 1.7% 2% $12,757
Jerauld County 53 24.7% 29.9% 8.6% 10.1% 1.8% 2.1% $18,017
Aurora County 54 18.2% 21.3% 6.1% 5.5% 1.5% 2.2% $10,730
Faulk County 55 15.4% 24.1% 4.7% 6.4% 1.5% 1.3% $13,640
Miner County 56 17.2% 23.4% 6.2% 5.3% 2.4% 1.7% $12,487
Buffalo County 57 42.8% 9.9% 5.6% 5% 13.7% 13.8% $15,128
Mellette County 58 31.9% 16.1% 6% 5.2% 8.5% 8.1% $14,481
Ziebach County 59 33.5% 11% 3.4% 3.5% 9% 13.7% $11,283
Sanborn County 60 17.3% 21.9% 5.9% 5% 1.3% 2.1% $11,042
Haakon County 61 16.4% 26.8% 5.5% 5.8% 1.3% 1.6% $12,759
Campbell County 62 14.5% 31.7% 5.6% 5% 0.7% 1.4% $11,838
Hyde County 63 16.3% 25.7% 5.7% 4.9% 2.2% 1.7% $13,052
Sully County 64 8.9% 27.1% 4.7% 2.6% 0.1% 0.7% $9,050
Harding County 65 15.1% 21.7% 6.2% 3.5% 0.4% 2.1% $7,762
Jones County 66 14.3% 27.1% 6% 3.4% 0.9% 2% $11,344


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