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Eagle Valley Times

Monday, March 31, 2025

Lyon County: Medicaid made up 2.4% of total income 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 Lyon County totaled $68.67 million, amounting to $1,115 per capita, or 10% 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 $283.51 million, equating to $4,604 per capita and making up 41.2% of total transfers.

Comparatively, Medicaid transfers across Nevada amounted to $5.05 billion, ranking second lowest among all transfer types within the state. This translates to an average of $1,589 per capita, or 15.5% of total government transfers. Including all transfer types, government transfer payments totaled $32.62 billion, accounting for 16.5% of residents’ total income, with an average of $10,264 per resident.

Medicare was the second largest contributor in Lyon County in 2022, accounting for $169.01 million, averaging $2,744 per capita, representing 24.6% of transfers. Income Maintenance transfers provided another $62 million, averaging $1,007 per capita and comprising 9% 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, Lyon County has a significant demand for programs like Social Security and Medicare. Despite this aid, the total per capita income in Lyon County, excluding government transfers was $35,574, which is noticeably below the county's total income of $46,735, emphasizing the role of government transfers in overall income.

When comparing 2022 to the previous year, Lyon County saw a decrease in its Medicaid 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 Lyon County, reliance on government transfers has similarly increased from 6.2% (or $1,714 per capita) in 1970 to 23.9% (or $11,161 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 Lyon County, 2022

Social Security (41.2% or $283.51 million)Medicare (24.6% or $169.01 million)All Other Government Transfers (15.2% or $104.15 million)Medicaid (10% or $68.67 million)Income Maintenance (9% or $62 million)

2022 Nevada 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 ($)
Clark County117%15.9%5.3%4.6%2.5%2.3%$10,067
Washoe County212.6%17.7%4.6%2.9%2.3%1.2%$9,804
Nye County335.9%31.2%14.2%10.7%3.2%2.9%$15,441
Carson City (Independent City)421.9%21.2%7.1%5.3%5.5%1.8%$13,354
Lyon County523.9%21.8%9.9%5.9%2.4%2.2%$11,161
Douglas County613.7%32.8%6.5%4%0.9%0.6%$13,692
Elko County714.2%13.2%4.5%3.1%2.9%1.6%$7,677
Churchill County824.9%19.3%7.3%4.8%5.8%2.3%$13,491
Humboldt County917.8%16.1%5.9%4.2%3.5%1.9%$9,700
White Pine County1023.4%20.2%6.7%5%7.9%1.9%$13,432
Mineral County1137.1%27.1%10.4%7.3%12.7%3.1%$17,633
Pershing County1223.4%18.2%7.3%3.9%7.9%2.2%$9,315
Lincoln County1327.3%24.5%8.1%7.7%6.8%2.3%$13,233
Lander County1413.2%16.8%4.4%3%3.5%1.2%$9,719
Storey County1512.1%34.1%7.5%1.9%0.5%0.6%$9,459
Eureka County1616.5%18.9%6.8%4.7%1.3%1.5%$8,196
Esmeralda County1734%32.3%10.4%17.2%2.2%1.9%$20,517

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