In 2022, Medicaid transfers in Hawkins County totaled $125.76 million, amounting to $2,167 per capita, or 15.7% 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 $319.25 million, equating to $5,500 per capita and making up 39.8% of total transfers.
Comparatively, Medicaid transfers across Tennessee amounted to $12.3 billion, ranking second lowest among all transfer types within the state. This translates to an average of $1,745 per capita, or 15.6% of total government transfers. Including all transfer types, government transfer payments totaled $79.04 billion, accounting for 19.2% of residents’ total income, with an average of $11,209 per resident.
Medicare was the second largest contributor in Hawkins County in 2022, accounting for $193.46 million, averaging $3,333 per capita, representing 24.1% of transfers. Income Maintenance transfers provided another $82.81 million, averaging $1,427 per capita and comprising 10.3% 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 21.8% of the population aged 65 and older, Hawkins County has a significant demand for programs like Social Security and Medicare. Despite this aid, the total per capita income in Hawkins County, excluding government transfers was $27,309, which is far below the county’s total income of $41,134, emphasizing the role of government transfers in overall income.
When comparing 2022 to the previous year, Hawkins County saw an increase in its Medicaid transfer dependency by 0.8%, 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 Hawkins County, reliance on government transfers has similarly increased from 10.5% (or $1,541 per capita) in 1970 to 33.6% (or $13,825 per capita) in 2022, reflecting broader national trends.
According to the Economic Innovation Group’s analysis, these trends are not merely short-term responses to economic pressures but rather reflect a profound, long-term transformation in how government support is integrated into American life. The study illustrates that structural shifts—from rising healthcare expenses and demographic changes to stagnant wages—have significantly increased dependency on government transfers.
| County | Rank | Dependency on Transfers (%) | % Population 65+ | Social Security Transfers (%) | Medicare Transfers (%) | Medicaid Transfers (%) | Income Maintenance Transfers (%) | Per Capita Transfers ($) |
|---|---|---|---|---|---|---|---|---|
| Shelby County | 1 | 18.6% | 14.8% | 5.6% | 4.4% | 3.3% | 3.5% | $10,933 |
| Davidson County | 2 | 10.2% | 13% | 3.3% | 2.6% | 1.9% | 1.4% | $8,747 |
| Knox County | 3 | 16.1% | 16.3% | 6% | 4.2% | 2.4% | 1.6% | $10,209 |
| Hamilton County | 4 | 18.9% | 18.4% | 6.9% | 4.9% | 2.9% | 2% | $11,478 |
| Rutherford County | 5 | 14.9% | 11.2% | 5.2% | 3.5% | 2.3% | 1.8% | $7,678 |
| Montgomery County | 6 | 20.5% | 10% | 4.9% | 3.2% | 2.6% | 2.4% | $10,051 |
| Sullivan County | 7 | 26.5% | 22.2% | 10.6% | 7.2% | 3.5% | 2.5% | $13,561 |
| Sumner County | 8 | 15.4% | 16.7% | 6.3% | 4.2% | 1.9% | 1.4% | $9,598 |
| Williamson County | 9 | 5.7% | 14.8% | 2.8% | 1.6% | 0.3% | 0.3% | $6,852 |
| Washington County | 10 | 22.9% | 19.1% | 8.5% | 5.6% | 3.5% | 2% | $12,248 |
| Blount County | 11 | 21.6% | 21.2% | 9.1% | 5.8% | 2.6% | 1.7% | $11,515 |
| Wilson County | 12 | 14.3% | 15.9% | 5.9% | 3.9% | 1.7% | 1.1% | $9,282 |
| Madison County | 13 | 24.8% | 18% | 8.1% | 5.8% | 5.2% | 3.2% | $12,950 |
| Bradley County | 14 | 24.6% | 17.5% | 9% | 6.5% | 3.9% | 2.6% | $11,568 |
| Sevier County | 15 | 23.2% | 20.6% | 9% | 6.4% | 2.9% | 2.1% | $12,198 |
| Maury County | 16 | 20.9% | 17.2% | 7.8% | 5.7% | 3% | 1.9% | $11,045 |
| Greene County | 17 | 36.3% | 22.1% | 12.3% | 10.3% | 7.2% | 3.1% | $15,324 |
| Cumberland County | 18 | 38.1% | 32.2% | 16.5% | 11% | 3.8% | 2.7% | $16,947 |
| Putnam County | 19 | 26.3% | 16.4% | 8.5% | 7% | 4.7% | 2.6% | $12,695 |
| Anderson County | 20 | 24.9% | 20.1% | 9.4% | 6.5% | 4.2% | 2.5% | $12,818 |
| Loudon County | 21 | 21.5% | 27.8% | 9.6% | 6.5% | 2% | 1.3% | $14,420 |
| Hamblen County | 22 | 27.5% | 17.5% | 9.5% | 7.1% | 4.9% | 3% | $12,864 |
| Hawkins County | 23 | 33.6% | 21.8% | 13.4% | 8.1% | 5.3% | 3.5% | $13,825 |
| Roane County | 24 | 28.6% | 23.6% | 11% | 8% | 4.2% | 2.4% | $14,340 |
| Robertson County | 25 | 19.7% | 15.1% | 7.1% | 5.6% | 2.5% | 2% | $10,318 |
| Coffee County | 26 | 27.5% | 17.6% | 9.3% | 7.6% | 4.5% | 2.9% | $12,890 |
| Carter County | 27 | 33% | 22.7% | 12% | 8.6% | 5.2% | 3.5% | $13,321 |
| Jefferson County | 28 | 28.7% | 20.7% | 10.8% | 6.7% | 5.1% | 2.8% | $12,877 |
| McMinn County | 29 | 29.7% | 20.4% | 10.9% | 7.5% | 4.6% | 3.2% | $12,873 |
| Gibson County | 30 | 29.4% | 17.5% | 9.7% | 8.2% | 5.7% | 3.2% | $13,559 |
| Tipton County | 31 | 22.5% | 15.8% | 7.7% | 5.8% | 3% | 2.7% | $10,983 |
| Dickson County | 32 | 22.7% | 16.7% | 7.8% | 6% | 3.8% | 2.2% | $11,745 |
| Monroe County | 33 | 32.6% | 22.1% | 12.5% | 8.8% | 4.7% | 3.5% | $13,500 |
| Campbell County | 34 | 35.5% | 20.6% | 11.2% | 8.9% | 6.9% | 4.5% | $14,913 |
| Lawrence County | 35 | 30.8% | 17.6% | 10.3% | 8.9% | 4.9% | 3.2% | $12,973 |
| Warren County | 36 | 32.1% | 18% | 10.5% | 9% | 5.5% | 3.9% | $13,410 |
| Cocke County | 37 | 37.2% | 21.9% | 12.5% | 9.6% | 6.7% | 4.7% | $15,152 |
| Bedford County | 38 | 22.1% | 14.8% | 7.7% | 5.4% | 3.7% | 2.9% | $10,482 |
| Franklin County | 39 | 26.5% | 20.7% | 10.4% | 7.1% | 3.5% | 2.4% | $12,305 |
| Fayette County | 40 | 16.3% | 23.1% | 6.8% | 4.8% | 1.8% | 1.4% | $12,000 |
| Dyer County | 41 | 26.2% | 17.9% | 8.7% | 7% | 4.5% | 3.5% | $13,347 |
| Claiborne County | 42 | 35.2% | 20.3% | 11.6% | 9.7% | 6.3% | 3.9% | $14,809 |
| Henry County | 43 | 28.1% | 23.9% | 10.5% | 7.6% | 3.6% | 3% | $14,703 |
| Rhea County | 44 | 31.5% | 19.2% | 10.6% | 8.1% | 6% | 3.6% | $13,688 |
| Lincoln County | 45 | 26.3% | 20.1% | 9.6% | 7.2% | 3.3% | 2.6% | $12,801 |
| Cheatham County | 46 | 19.5% | 16.2% | 7.5% | 5.4% | 2.7% | 1.6% | $10,800 |
| Carroll County | 47 | 37.3% | 20.1% | 12.5% | 11% | 6.1% | 3.7% | $15,132 |
| Obion County | 48 | 28.7% | 21% | 10.4% | 8.4% | 4.3% | 3.2% | $14,054 |
| Weakley County | 49 | 28% | 18.4% | 9.4% | 7.5% | 5.1% | 2.8% | $12,807 |
| Giles County | 50 | 29.5% | 21.1% | 10.8% | 8.2% | 4.1% | 2.9% | $13,151 |
| White County | 51 | 34.1% | 20.7% | 11.8% | 9.2% | 5.4% | 3.6% | $14,158 |
| Marion County | 52 | 28.7% | 21.3% | 10.7% | 8.4% | 4.3% | 3.1% | $13,654 |
| Hardin County | 53 | 32.8% | 23.8% | 11.8% | 8.6% | 5.8% | 3.6% | $14,513 |
| Marshall County | 54 | 22.4% | 16.5% | 8.1% | 6.2% | 3.3% | 2.3% | $10,787 |
| McNairy County | 55 | 38.8% | 20.7% | 13% | 11.3% | 6.7% | 4.2% | $14,866 |
| Henderson County | 56 | 26.9% | 19.1% | 9.2% | 7.2% | 4.7% | 3.2% | $12,444 |
| Hardeman County | 57 | 38.7% | 18.6% | 12.3% | 10.3% | 7.7% | 5.4% | $13,451 |
| Scott County | 58 | 39.6% | 17.4% | 10.9% | 11.3% | 8.4% | 5.5% | $14,817 |
| Lauderdale County | 59 | 32.4% | 16.7% | 9.9% | 9.4% | 5.7% | 5% | $12,862 |
| Fentress County | 60 | 39.5% | 23% | 12.6% | 11.2% | 7.2% | 4.3% | $16,457 |
| Grainger County | 61 | 30.7% | 21.6% | 11.2% | 8.3% | 4.8% | 3.4% | $13,012 |
| Hickman County | 62 | 27.4% | 18.1% | 9.4% | 7.4% | 4.2% | 3.1% | $11,646 |
| Macon County | 63 | 27.8% | 15.8% | 9.2% | 7% | 5.2% | 3.9% | $11,067 |
| Overton County | 64 | 31.6% | 20.4% | 11.9% | 8.3% | 4.2% | 3.5% | $12,455 |
| Unicoi County | 65 | 37.1% | 23.7% | 12.2% | 10.4% | 6.1% | 3.1% | $15,735 |
| Johnson County | 66 | 37.9% | 23.8% | 13.6% | 10.9% | 5.1% | 4.1% | $14,596 |
| DeKalb County | 67 | 25.7% | 18.9% | 9% | 6.9% | 4.4% | 3% | $12,390 |
| Humphreys County | 68 | 30.5% | 20.3% | 11% | 8.4% | 4.9% | 2.8% | $13,582 |
| Benton County | 69 | 38.2% | 24.2% | 13.8% | 10.8% | 5.8% | 3.8% | $15,599 |
| Union County | 70 | 29.7% | 18.9% | 10.7% | 6.4% | 5.8% | 3.9% | $12,124 |
| Morgan County | 71 | 30.7% | 19.1% | 12.2% | 6.9% | 4.9% | 3.8% | $11,358 |
| Haywood County | 72 | 35.6% | 21% | 11.9% | 8.8% | 6.6% | 5.6% | $13,367 |
| Sequatchie County | 73 | 29.2% | 21.4% | 10.7% | 7.1% | 4.3% | 3% | $13,432 |
| Smith County | 74 | 22.8% | 17.2% | 8.4% | 5.8% | 3.5% | 2.6% | $10,931 |
| Polk County | 75 | 30.1% | 21% | 11.2% | 8.1% | 4% | 3.1% | $12,256 |
| Stewart County | 76 | 31.1% | 20.8% | 9.7% | 7.5% | 4% | 2.6% | $15,122 |
| Grundy County | 77 | 38.5% | 20.5% | 13% | 9.1% | 7.6% | 5.2% | $14,822 |
| Wayne County | 78 | 34.1% | 19.5% | 12.2% | 9.8% | 5.1% | 3.4% | $12,458 |
| Chester County | 79 | 27.5% | 17.2% | 10.1% | 6.9% | 4% | 3.4% | $11,186 |
| Decatur County | 80 | 33.6% | 23.1% | 11.6% | 10.5% | 5.4% | 3.1% | $16,553 |
| Crockett County | 81 | 27.2% | 19.2% | 9.4% | 7% | 4.8% | 3.3% | $12,859 |
| Meigs County | 82 | 33% | 21.5% | 11.9% | 7.9% | 5.4% | 4% | $13,144 |
| Cannon County | 83 | 26.1% | 18.2% | 9.9% | 6.5% | 3.8% | 2.8% | $11,469 |
| Bledsoe County | 84 | 31.5% | 21.4% | 11.7% | 8% | 5% | 3.9% | $10,981 |
| Lewis County | 85 | 29.6% | 21.1% | 9.7% | 7.6% | 5.1% | 3.3% | $12,333 |
| Jackson County | 86 | 35.2% | 23.4% | 13.2% | 9.2% | 5.2% | 3.9% | $13,108 |
| Houston County | 87 | 38.1% | 20.9% | 11.5% | 11.2% | 6.2% | 3.9% | $14,918 |
| Perry County | 88 | 35.9% | 21.4% | 12.7% | 9% | 6% | 3.8% | $12,741 |
| Trousdale County | 89 | 23.8% | 12.9% | 7.9% | 7.2% | 3.8% | 2.7% | $8,910 |
| Clay County | 90 | 33.9% | 25.4% | 12% | 8.6% | 5.6% | 4% | $14,046 |
| Hancock County | 91 | 43.6% | 22.7% | 11.1% | 12% | 9.6% | 7% | $13,869 |
| Lake County | 92 | 46.4% | 17.1% | 11.3% | 14.6% | 10.7% | 7% | $14,093 |
| Van Buren County | 93 | 36.8% | 24% | 13.7% | 9% | 7.2% | 3.5% | $13,232 |
| Pickett County | 94 | 36.6% | 28.3% | 14% | 9.9% | 5.1% | 3.4% | $15,310 |
| Moore County | 95 | 22.9% | 22.1% | 9.3% | 4.8% | 2.2% | 1.7% | $11,126 |
