Social Security, Medicaid Reliance up As Aging Population Grows

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to","image":{"@type":"ImageObject","url":"https://i.insider.com/67363b84ede4eeae39279d34?width=1200&format=jpeg","width":1200,"height":900},"name":"2 maps show that Americans rely on income like Social Security more than they used to","datePublished":"2024-11-15T09:00:02Z","dateModified":"2024-11-15T17:41:50Z","description":"An aging population and high healthcare costs mean that more Americans are leaning on government assistance for their income. ","keywords":"Economy, Finance, SNAP, Poverty, Income Inequality","articleBody":"Americans are increasingly relying on government assistance — and it reflects a shifting economic landscape.A growing share of income in most US counties has come from social safety net programs like SNAP, Social Security, and Medicaid, per a report published in September by the research firm Economic Innovation Group. Government transfers of funds from these programs accounted for about 18% of total personal income in the US in 2022, a 9 percentage-point increase from 1970, the equivalent of $3.8 trillion. Both urban and rural counties saw that number spike.The report said that Americans' increasing dependence on government assistance is in part due to an aging population. One in six people in 2022 were over the age of 65 — compared to one in 10 in 1970 — and just over half of the national transfer income flows from Medicare and Social Security.What's more, healthcare is straining people's finances. The report said Medicare and Medicaid prices are becoming more expensive as costs for care rise.Business Insider has talked to many retirees — many of whom live solely on Social Security income because they don't have savings or retirement investments — who say they are struggling to afford basic necessities.\"I don't want to be rich; I just need to be comfortable,\" a baby boomer living on $1,104 monthly in Social Security previously told BI. \"I just want to know that I can have food when I need it and a nice roof over my head.\"The EIG's analysis of county and county-equivalent (such as parishes in Louisiana that are considered similar to a county) data shows how much government aid transfers as a share of total income varied across the US. 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EIG said enacting policies that boost wages and encourage workforce participation could help reduce reliance on government assistance.Are you living on a limited income or relying on government assistance? Are you open to sharing how you budget and afford basic necessities? If so, reach out to these reporters at allisonkelly@businessinsider.com and mhoff@businessinsider.com.","articleSection":"Economy, Finance","isAccessibleForFree":false,"hasPart":[{"@type":"WebPageElement","isAccessibleForFree":false,"cssSelector":".content-lock-content"}]} </script> <script type="application/ld+json"> {"@context":"http://schema.org","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"item":{"@id":"https://www.businessinsider.com/","name":"Business Insider"}},{"@type":"ListItem","position":2,"item":{"@id":"https://www.businessinsider.com/economy","name":"Economy"}},{"@type":"ListItem","position":3,"item":{"@id":"https://www.businessinsider.com/finance","name":"Finance"}},{"@type":"ListItem","position":4,"item":{"@id":"https://www.businessinsider.com/social-security-medicaid-snap-benefits-income-reliance-increases-aging-population-2024-11","name":"2 maps show that Americans rely on income like Social Security more than they used to"}}]} 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<figcaption class="image-caption headline-semibold" data-e2e-name="image-caption" > <span class="image-caption-text">More Americans are leaning on safety nets like SNAP and Social Security to afford basics.</span> <span class="image-source-text"> <span class="image-source headline-regular" data-e2e-name="image-source" itemprop="creditText" > Tang Ming Tung/Getty Images </span> </span> </figcaption> </span> </figure> <div class="inline-backup-paywall desktop" data-component-type="inline-backup-paywall" style="display:none"> <span class="headline-semibold subscription-msg">This story is available exclusively to Business Insider subscribers. <a href="/subscription" class="subscription-link">Become an Insider</a> and start reading now.</span> <span class="headline-regular login-prompt">Have an account? <button class="login-prompt-btn">Log in</button>.</span> </div> <div> <section class="post-content typography " data-track-content="" data-post-type="post" > <div id="piano-inline-content-wrapper" data-piano-inline-content-wrapper data-user-status="anonymous" > <div data-component-type="content-lock" data-load-strategy="exclude"> <div class="content-lock-content"> <div class="in-post-sticky only-desktop"><div class="ad-callout-wrapper only-desktop"> <div class="ad-label headline-regular only-desktop">Advertisement</div> <div data-bi-ad="" id="gpt-post-economy-desktop_in_post_ad-desktop-fluid-1" class="ad ad-wrapper fluid in-post only-desktop" data-force="" data-type="ad" data-adunit="businessinsider.desktop/post/in-content-1/markets" data-secvert="finance" data-tag="economy,finance,social-security,snap,food-stamps,medicare,medicaid,poverty,income-inequality,alice,insider-graphics" data-authors="allie-kelly,madison-hoff" data-region="Desktop In Post Ad" data-responsive="[{"browserLimit":[728,0],"slotSize":[[300,250],"fluid"]},{"browserLimit":[1260,0],"slotSize":[[728,90],[300,250],[800,480],[600,480],"fluid"]}]" data-tile-order="tile-1" data-url="/social-security-medicaid-snap-benefits-income-reliance-increases-aging-population-2024-11" data-template="default" data-targeting="{"adunit":"businessinsider.desktop/post/in-content-1/markets","region":"Desktop In Post Ad","tag":"economy,finance,social-security,snap,food-stamps,medicare,medicaid,poverty,income-inequality,alice,insider-graphics","template":"default","dvp_spos":"in-content-1","rawvert":""}" data-amazontamsizes="[[728,90],[300,250]]" data-not-lazy="" data-enable-ad-refresher="true" data-refresh-count="0"></div> </div></div><ul class="summary-list"><li>Americans are increasingly relying on government aid thanks to aging populations and rising costs.</li><li>Money from programs like Social Security accounted for 18% of total personal income in 2022.</li><li>That's a 9 percentage-point increase from 1970, the equivalent of $3.8 trillion.</li></ul><p>Americans are increasingly relying on government assistance — and it reflects a shifting economic landscape.</p><p>A growing share of income in most US counties has come from social safety net programs like <a target="_blank" href="https://www.businessinsider.com/snap-alice-food-stamps-hunger-government-assitance-free-meals-2024-5" data-analytics-product-module="body_link" rel="">SNAP</a>, <a target="_blank" href="https://www.businessinsider.com/trump-tax-cuts-social-security-boomers-benefit-fund-depletion-2024-11" data-analytics-product-module="body_link" rel="">Social Security</a>, and Medicaid, per a <a target="_blank" href="https://eig.org/great-transfermation/" data-analytics-product-module="body_link" rel=" nofollow">report</a> published in September by the research firm Economic Innovation Group. Government transfers of funds from these programs accounted for about<strong> </strong>18% of total personal income in the US in 2022, a<strong> </strong>9 percentage-point increase from 1970, the equivalent of $3.8 trillion. Both urban and rural counties saw that number spike.</p><div class="in-post-sticky only-desktop"><div class="ad-callout-wrapper only-desktop"> <div class="ad-label headline-regular only-desktop">Advertisement</div> <div data-bi-ad="" id="gpt-post-economy-desktop_in_post_ad-desktop-fluid-2" class="ad ad-wrapper fluid in-post only-desktop" data-force="" data-type="ad" data-adunit="businessinsider.desktop/post/in-content-2/markets" data-secvert="finance" data-tag="economy,finance,social-security,snap,food-stamps,medicare,medicaid,poverty,income-inequality,alice,insider-graphics" data-authors="allie-kelly,madison-hoff" data-region="Desktop In Post Ad" data-responsive="[{"browserLimit":[728,0],"slotSize":[[300,250],"fluid"]},{"browserLimit":[1260,0],"slotSize":[[728,90],[300,250],[800,480],[600,480],"fluid"]}]" data-tile-order="tile-2" data-url="/social-security-medicaid-snap-benefits-income-reliance-increases-aging-population-2024-11" data-template="default" data-targeting="{"adunit":"businessinsider.desktop/post/in-content-2/markets","region":"Desktop In Post Ad","tag":"economy,finance,social-security,snap,food-stamps,medicare,medicaid,poverty,income-inequality,alice,insider-graphics","template":"default","dvp_spos":"in-content-2","rawvert":""}" data-amazontamsizes="[[728,90],[300,250]]" data-enable-ad-refresher="true" data-refresh-count="0"></div> </div></div><p>The report said that Americans' increasing dependence on government assistance is in part due to an aging population. One in six people<strong> </strong>in 2022 were over the age of 65 — compared to one in 10 in 1970<strong> </strong>— and just over half of the national transfer income flows from Medicare and Social Security.</p><p>What's more, <a target="_blank" href="https://www.businessinsider.com/healthcare-childcare-expensive-costs-wage-growth-employment-ai-risks-2024-8" data-analytics-product-module="body_link" rel="">healthcare</a> is straining people's finances. The report said Medicare and Medicaid prices are becoming more expensive as costs for care rise.</p><p>Business Insider has talked to many <a target="_blank" href="https://www.businessinsider.com/boomers-living-social-security-government-aid-snap-loneliness-crisis-isolation-2024-8" data-analytics-product-module="body_link" rel="">retirees</a> — many of whom live solely<strong> </strong>on Social Security income because they don't have savings or retirement investments — who say they are struggling to afford basic necessities.</p><div class="in-post-sticky only-desktop"><div class="ad-callout-wrapper only-desktop"> <div class="ad-label headline-regular only-desktop">Advertisement</div> <div data-bi-ad="" id="gpt-post-economy-desktop_in_post_ad-desktop-fluid-3" class="ad ad-wrapper fluid in-post only-desktop" data-force="" data-type="ad" data-adunit="businessinsider.desktop/post/in-content-3/markets" data-secvert="finance" data-tag="economy,finance,social-security,snap,food-stamps,medicare,medicaid,poverty,income-inequality,alice,insider-graphics" data-authors="allie-kelly,madison-hoff" data-region="Desktop In Post Ad" data-responsive="[{"browserLimit":[728,0],"slotSize":[[300,250],"fluid"]},{"browserLimit":[1260,0],"slotSize":[[728,90],[300,250],[800,480],[600,480],"fluid"]}]" data-tile-order="tile-3" data-url="/social-security-medicaid-snap-benefits-income-reliance-increases-aging-population-2024-11" data-template="default" data-targeting="{"adunit":"businessinsider.desktop/post/in-content-3/markets","region":"Desktop In Post Ad","tag":"economy,finance,social-security,snap,food-stamps,medicare,medicaid,poverty,income-inequality,alice,insider-graphics","template":"default","dvp_spos":"in-content-3","rawvert":""}" data-amazontamsizes="[[728,90],[300,250]]" data-enable-ad-refresher="true" data-refresh-count="0"></div> </div></div><p>"I don't want to be rich; I just need to be comfortable," a baby boomer living on <a target="_blank" href="https://www.businessinsider.com/social-security-no-savings-snap-benefits-debt-boomers-experiences-2024-6" data-analytics-product-module="body_link" rel="">$1,104 monthly in Social Security</a> previously told BI. "I just want to know that I can have food when I need it and a nice roof over my head."</p><p>The EIG's analysis of county and county-equivalent (such as parishes in <a target="_blank" href="https://www.census.gov/geographies/reference-files/2010/geo/state-local-geo-guides-2010/louisiana.html" data-analytics-product-module="body_link" rel="">Louisiana</a> that are considered similar to a county)<strong> </strong>data shows how much<strong> </strong>government aid transfers<strong> </strong>as a share of total income varied across the US. Just a handful of places with data had shares above 40% in 2000, as seen in the map below.</p><div id="1731616348618" data-styles="default-width" data-embed-type="custom" data-script="" class="insider-raw-embed" data-type="embed"><iframe title="Government transfers as a share of total income, 2000" aria-label="Map" id="datawrapper-chart-SZzPL" src="https://datawrapper.dwcdn.net/SZzPL/1/" scrolling="no" frameborder="0" style="width: 0; min-width: 100% !important; border: none;" height="488" data-external="1"></iframe><script type="text/javascript">!function(){"use strict";window.addEventListener("message",(function(a){if(void 0!==a.data["datawrapper-height"]){var e=document.querySelectorAll("iframe");for(var t in a.data["datawrapper-height"])for(var r=0;r<e.length;r++)if(e[r].contentWindow===a.source){var i=a.data["datawrapper-height"][t]+"px";e[r].style.height=i}}}))}();</script></div><p>Most counties from EIG's analysis saw government transfers as a share of total income rise between 2000 and 2022, with many increasing by at least 10 percentage points.</p><div class="in-post-sticky only-desktop"><div class="ad-callout-wrapper only-desktop"> <div class="ad-label headline-regular only-desktop">Advertisement</div> <div data-bi-ad="" id="gpt-post-economy-desktop_in_post_ad-desktop-fluid-4" class="ad ad-wrapper fluid in-post only-desktop" data-force="" data-type="ad" data-adunit="businessinsider.desktop/post/in-content-4-plus/markets" data-secvert="finance" data-tag="economy,finance,social-security,snap,food-stamps,medicare,medicaid,poverty,income-inequality,alice,insider-graphics" data-authors="allie-kelly,madison-hoff" data-region="Desktop In Post Ad" data-responsive="[{"browserLimit":[728,0],"slotSize":[[300,250],"fluid"]},{"browserLimit":[1260,0],"slotSize":[[728,90],[300,250],[800,480],[600,480],"fluid"]}]" data-tile-order="tile-4" data-url="/social-security-medicaid-snap-benefits-income-reliance-increases-aging-population-2024-11" data-template="default" data-targeting="{"adunit":"businessinsider.desktop/post/in-content-4-plus/markets","region":"Desktop In Post Ad","tag":"economy,finance,social-security,snap,food-stamps,medicare,medicaid,poverty,income-inequality,alice,insider-graphics","template":"default","dvp_spos":"in-content-4-plus","rawvert":""}" data-amazontamsizes="[[728,90],[300,250]]" data-enable-ad-refresher="true" data-refresh-count="0"></div> </div></div><p>"Today, most US counties depend on a level of government transfer income that was once reserved only for the most distressed places," the report said.</p><div id="1731616348618" data-styles="default-width" data-embed-type="custom" data-script="" class="insider-raw-embed" data-type="embed"><iframe title="Government transfers as a share of total income, 2022" aria-label="Map" id="datawrapper-chart-tvU21" src="https://datawrapper.dwcdn.net/tvU21/2/" scrolling="no" frameborder="0" style="width: 0; min-width: 100% !important; border: none;" height="488" data-external="1"></iframe><script type="text/javascript">!function(){"use strict";window.addEventListener("message",(function(a){if(void 0!==a.data["datawrapper-height"]){var e=document.querySelectorAll("iframe");for(var t in a.data["datawrapper-height"])for(var r=0;r<e.length;r++)if(e[r].contentWindow===a.source){var i=a.data["datawrapper-height"][t]+"px";e[r].style.height=i}}}))}();</script></div><p>Paychecks and investments are Americans' main sources of income outside government assistance. Still, many don't make enough to get by.<strong> </strong>Thirteen percent of individuals live below the federal poverty line of <a target="_blank" rel="noopener noreferrer" class="c-link" href="https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines" data-analytics-product-module="body_link">$15,060 or less a year</a>, <a target="_blank" class="" href="https://www.businessinsider.com/middle-class-americans-earning-above-poverty-live-paycheck-to-paycheck-2024-4" data-analytics-product-module="body_link" rel="">a report</a> from the nonprofit United Way's United for ALICE program found. </p><p>The EIG report suggests that reliance on government transfers will continue to be a norm in many US counties. EIG said enacting policies that boost wages and encourage workforce participation could help reduce reliance on government assistance.</p><div class="in-post-sticky only-desktop"><div class="ad-callout-wrapper only-desktop"> <div class="ad-label headline-regular only-desktop">Advertisement</div> <div data-bi-ad="" id="gpt-post-economy-desktop_in_post_ad-desktop-fluid-5" class="ad ad-wrapper fluid in-post only-desktop" data-force="" data-type="ad" data-adunit="businessinsider.desktop/post/in-content-4-plus/markets" data-secvert="finance" data-tag="economy,finance,social-security,snap,food-stamps,medicare,medicaid,poverty,income-inequality,alice,insider-graphics" data-authors="allie-kelly,madison-hoff" data-region="Desktop In Post Ad" data-responsive="[{"browserLimit":[728,0],"slotSize":[[300,250],"fluid"]},{"browserLimit":[1260,0],"slotSize":[[728,90],[300,250],[800,480],[600,480],"fluid"]}]" data-tile-order="tile-5" data-url="/social-security-medicaid-snap-benefits-income-reliance-increases-aging-population-2024-11" data-template="default" data-targeting="{"adunit":"businessinsider.desktop/post/in-content-4-plus/markets","region":"Desktop In Post Ad","tag":"economy,finance,social-security,snap,food-stamps,medicare,medicaid,poverty,income-inequality,alice,insider-graphics","template":"default","dvp_spos":"in-content-4-plus","rawvert":""}" data-amazontamsizes="[[728,90],[300,250]]" data-enable-ad-refresher="true" data-refresh-count="0"></div> </div></div><p><em>Are you living on a limited income or relying on government assistance? Are you open to sharing how you budget and afford basic necessities? If so, reach out to these reporters at </em><a target="_blank" href="mailto:allisonkelly@businessinsider.com" data-analytics-product-module="body_link" rel=" nofollow"><em>allisonkelly@businessinsider.com</em></a><em> and </em><a target="_blank" href="mailto:mhoff@businessinsider.com" data-analytics-product-module="body_link" rel=" nofollow"><em>mhoff@businessinsider.com</em></a><em>.</em></p> </div> </div> </div> </section> </div> <section class="post-content-more"> <section class="dad-related-posts-component at-post-bottom related-posts" data-component-type="dad-related-posts" data-delay-third-party-scripts="true" data-size="3" data-container-index="" data-included-verticals="economy" data-placement="post-bottom" data-excluded-verticals="bi-video" data-root-margin="250px 0px" data-track-view="{"element_name":"end_of_article_recirc","product_field":"bi_value_unassigned"}" > <div class="content-recommendations-title-container"> <h2 class="content-recommendations-title headline-semibold ignore-typography "> Read next </h2> </div> <div class="dad-related-posts-container content-recommendations-container"></div> </section> </section> <section class="category-wrapper headline-regular" data-track-click-shared="{"product_field":"bi_value_unassigned","event":"navigation","element_name":"category_link"}" > <a class="category-link not-content-link" href="/category/economy" data-track-click >Economy</a> <a class="category-link not-content-link" href="/category/finance" data-track-click >Finance</a> <a class="category-link not-content-link" href="/category/snap" data-track-click >SNAP</a> <div class="category-more-icon category-link" data-track-click="{"click_text":"More","click_path":"bi_value_unassigned"}" data-component-type="category-tags" > More... </div> </section> <div class="ad-callout-wrapper only-mobile"> <div class="ad-label headline-regular only-mobile">Advertisement</div> <div data-bi-ad id="gpt-post-economy-mobile_article-mobile-fluid-1" class="ad ad-wrapper fluid only-mobile" data-force="" data-type="ad" data-adunit="businessinsider.mobile/post/after-content/markets" data-secvert="finance" data-tag="economy,finance,social-security,snap,food-stamps,medicare,medicaid,poverty,income-inequality,alice,insider-graphics" data-authors="allie-kelly,madison-hoff" data-region="Mobile Article" data-responsive="[{"browserLimit":[0,0],"slotSize":[[320,50],[320,100],[300,250],[300,50]]}]" data-tile-order="tile-0" data-url="/social-security-medicaid-snap-benefits-income-reliance-increases-aging-population-2024-11" data-template="default" data-targeting="{"adunit":"businessinsider.mobile/post/after-content/markets","region":"Mobile Article","tag":"economy,finance,social-security,snap,food-stamps,medicare,medicaid,poverty,income-inequality,alice,insider-graphics","template":"default","dvp_spos":"after-content","rawvert":""}" data-amazontamsizes="[[320,50],[320,100],[300,250],[300,50]]" data-enable-ad-refresher="true" data-refresh-count="0" ></div> </div> <section class="post-content-bottom taboola-feed" data-track-page-area="Post Bottom" >  <vendor-taboola class="component taboola js-only-desktop" data-component-type="vendor-taboola" data-root-margin="0px 0px 100% 0px" data-consent="MARKETING" config="{"providerName":"taboola","providerPageType":{"article":"auto"},"providerUrl":"//cdn.taboola.com/libtrc/businessinsider/loader.js","providerFlushValue":{"flush":true},"providerData":{"mode":"thumbs-1r","container":"taboola-below-main-column","placement":"below-main-column","onlyOn":"desktop","target_type":"mix"}}" data-load-strategy="content-wall-decision-lazy" > <section class="taboola-container targeted-recommended only-desktop taboola-below-main-column" id="taboola-below-main-column" data-e2e-name="taboola-below-main-column" data-track-event-label="rec-taboola-taboola-below-main-column" > </section> </vendor-taboola>  </section> <sticky-footer-ad class="component sticky-footer-ad" data-offset-scroll-value="1" data-region="Mobile Sticky Lower" data-component-type="sticky-footer-ad" data-load-strategy="exclude" data-refresh-interval="" data-hide-when=".taboola-feed,footer,[data-is-interscroller]" > <div class="ad-close-icon" data-action="close" aria-label="Close this ad" ><svg class="svg-icon close-icon " role="img" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" viewBox="0 0 17.2 17.1"> <title>Close icon</title> <desc>Two crossed lines that form an 'X'. 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