In 2022, Medicaid transfers in Fresno County totaled $4.69 billion, amounting to $4,620 per capita, or 35.5% of total government transfers, according to information from the Economic Innovation Group.
Among all government transfer programs, Medicaid was the largest contributor in the county. Income Maintenance was the second largest contributor, totaling $2.53 billion, equating to $2,492 per capita and making up 19.2% of total transfers.
Comparatively, Medicaid transfers across California amounted to $124.07 billion, ranking highest among all transfer types within the state. This translates to an average of $3,179 per capita, or 26.7% of total government transfers. Including all transfer types, government transfer payments totaled $465.5 billion, accounting for 15.5% of residents’ total income, with an average of $11,927 per resident.
Social Security was the third largest contributor in Fresno County in 2022, accounting for $2.42 billion, averaging $2,382 per capita, representing 18.3% of transfers. Medicare transfers provided another $2.17 billion, averaging $2,136 per capita and comprising 16.4% 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 12.9% of the population aged 65 and older, Fresno County has a demand for programs like Social Security and Medicare. Despite this aid, the total per capita income in Fresno County, excluding government transfers was $37,534, which is far below the county’s total income of $50,549, emphasizing the role of government transfers in overall income.
When comparing 2022 to the previous year, Fresno County saw an increase in its Medicaid transfer dependency by 0.6%, 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 Fresno County, reliance on government transfers has similarly increased from 13.2% (or $3,086 per capita) in 1970 to 25.8% (or $13,015 per capita) in 2022, reflecting broader national trends.
According to the Economic Innovation Group’s analysis, these trends are not merely short-term responses to economic pressures but rather reflect a profound, long-term transformation in how government support is integrated into American life. The study illustrates that structural shifts—from rising healthcare expenses and demographic changes to stagnant wages—have significantly increased dependency on government transfers.
| County | Rank | Dependency on Transfers (%) | % Population 65+ | Social Security Transfers (%) | Medicare Transfers (%) | Medicaid Transfers (%) | Income Maintenance Transfers (%) | Per Capita Transfers ($) |
|---|---|---|---|---|---|---|---|---|
| Los Angeles County | 1 | 18.7% | 15.2% | 3.5% | 4.1% | 6.3% | 3.2% | $13,893 |
| San Diego County | 2 | 15% | 15.5% | 4.1% | 3.4% | 3.3% | 1.7% | $11,109 |
| Orange County | 3 | 11.7% | 16.3% | 3.7% | 3.3% | 1.8% | 1.5% | $9,775 |
| Riverside County | 4 | 19.8% | 15.4% | 5.8% | 4.9% | 3.1% | 3% | $10,171 |
| San Bernardino County | 5 | 21.7% | 12.5% | 4.9% | 4.5% | 5.7% | 3.8% | $10,706 |
| Sacramento County | 6 | 21.5% | 15.3% | 4.9% | 4.1% | 7.1% | 3.2% | $13,238 |
| Alameda County | 7 | 11.9% | 15.5% | 2.8% | 2.5% | 3.8% | 1.5% | $11,610 |
| Santa Clara County | 8 | 6.6% | 14.9% | 1.9% | 1.6% | 1.6% | 0.7% | $9,529 |
| Fresno County | 9 | 25.8% | 12.9% | 4.7% | 4.2% | 9.1% | 4.9% | $13,015 |
| Contra Costa County | 10 | 11.8% | 17.2% | 3.7% | 2.9% | 2.5% | 1.2% | $11,203 |
| San Francisco County | 11 | 8.4% | 18.1% | 1.9% | 1.9% | 2.5% | 1.2% | $13,025 |
| San Joaquin County | 12 | 23% | 13.5% | 4.8% | 4% | 8.5% | 3.4% | $12,478 |
| Kern County | 13 | 22.6% | 11.8% | 5.2% | 4.8% | 5.3% | 4.3% | $10,122 |
| Ventura County | 14 | 14.4% | 17.4% | 4.6% | 4.1% | 2.2% | 1.5% | $10,959 |
| San Mateo County | 15 | 5.3% | 18.1% | 2% | 1.4% | 0.7% | 0.5% | $9,223 |
| Stanislaus County | 16 | 23.5% | 13.8% | 5.7% | 4.8% | 6.9% | 3.5% | $11,991 |
| Tulare County | 17 | 26.6% | 11.9% | 4.7% | 4.1% | 9.4% | 5.4% | $12,574 |
| Sonoma County | 18 | 15.9% | 21.6% | 5.6% | 4.4% | 2.8% | 1.4% | $12,415 |
| Solano County | 19 | 20.8% | 17.5% | 6% | 4.6% | 4.3% | 2.5% | $12,097 |
| Placer County | 20 | 13.5% | 20.5% | 5.2% | 3.8% | 1.4% | 1.1% | $11,070 |
| Monterey County | 21 | 16.4% | 15% | 4.4% | 3.5% | 3.7% | 2.3% | $10,646 |
| Santa Barbara County | 22 | 13.6% | 16.6% | 4.4% | 3.4% | 2.2% | 1.8% | $10,320 |
| Merced County | 23 | 27% | 11.7% | 4.8% | 4.2% | 9.9% | 4.7% | $12,461 |
| San Luis Obispo County | 24 | 16.8% | 22.2% | 6.6% | 4.5% | 2% | 1.4% | $11,393 |
| Butte County | 25 | 27.6% | 18.4% | 7.1% | 6.2% | 7.3% | 3.7% | $15,156 |
| Shasta County | 26 | 31.7% | 21.5% | 8.6% | 6.3% | 9.1% | 3.7% | $17,135 |
| Santa Cruz County | 27 | 13.4% | 19% | 4.3% | 3.5% | 2.6% | 1.5% | $11,582 |
| Marin County | 28 | 6.8% | 23.9% | 2.9% | 2% | 0.7% | 0.6% | $11,630 |
| Imperial County | 29 | 29.8% | 13.8% | 5.6% | 6.5% | 7% | 6% | $13,476 |
| El Dorado County | 30 | 15.1% | 23.5% | 5.9% | 4% | 2.1% | 1.2% | $12,405 |
| Yolo County | 31 | 15.5% | 13.4% | 4.2% | 3.2% | 4% | 1.8% | $9,961 |
| Humboldt County | 32 | 27.1% | 19.8% | 7.1% | 4.8% | 8.7% | 3.2% | $14,667 |
| Madera County | 33 | 23% | 14.5% | 6% | 4.5% | 5.7% | 4% | $10,676 |
| Napa County | 34 | 14% | 21.2% | 4.8% | 4% | 2.5% | 1% | $12,121 |
| Kings County | 35 | 23.9% | 10.9% | 4.6% | 4% | 7.7% | 4% | $10,173 |
| Mendocino County | 36 | 29.9% | 24.6% | 7.7% | 6.5% | 9.3% | 3.4% | $17,149 |
| Nevada County | 37 | 19.9% | 29.3% | 7.8% | 5% | 3% | 1.6% | $14,479 |
| Yuba County | 38 | 31.8% | 13.3% | 5.6% | 5% | 12.5% | 4.6% | $15,320 |
| Sutter County | 39 | 24.6% | 16.4% | 5.8% | 5.8% | 6.2% | 3.4% | $12,794 |
| Lake County | 40 | 36.3% | 24% | 10% | 9.2% | 8.7% | 4.2% | $16,563 |
| Tehama County | 41 | 31.3% | 20.2% | 8.6% | 7.6% | 7.9% | 3.9% | $14,813 |
| Tuolumne County | 42 | 30.9% | 28.2% | 10.7% | 8.1% | 6% | 2.5% | $16,290 |
| Siskiyou County | 43 | 36.8% | 27.9% | 10.1% | 7.1% | 11.2% | 4.2% | $19,046 |
| Calaveras County | 44 | 27.7% | 29% | 10.2% | 7% | 4.7% | 2.5% | $15,514 |
| San Benito County | 45 | 14.7% | 13.5% | 4.4% | 3.8% | 2.5% | 1.9% | $9,080 |
| Amador County | 46 | 28.8% | 27.8% | 11.6% | 8.5% | 3.1% | 2.2% | $13,970 |
| Del Norte County | 47 | 39.3% | 20.7% | 9.1% | 6.9% | 13.9% | 5.6% | $17,166 |
| Glenn County | 48 | 27.7% | 17% | 7% | 6.8% | 7.5% | 3.7% | $14,158 |
| Lassen County | 49 | 31.8% | 17.3% | 7.1% | 5.4% | 11.9% | 3.9% | $12,950 |
| Plumas County | 50 | 31.2% | 32% | 9.6% | 7.9% | 7.1% | 2.6% | $18,548 |
| Inyo County | 51 | 25.1% | 24.8% | 7.2% | 6.5% | 6.6% | 2.4% | $15,433 |
| Mariposa County | 52 | 27.4% | 30.1% | 8.9% | 6.3% | 6.6% | 2.6% | $16,803 |
| Colusa County | 53 | 20% | 15.7% | 5.5% | 4.8% | 4.3% | 2.6% | $11,121 |
| Trinity County | 54 | 41.1% | 30.9% | 10.4% | 8.3% | 13.8% | 4.6% | $14,925 |
| Modoc County | 55 | 37.2% | 30% | 8.9% | 8.4% | 12.2% | 4.2% | $21,063 |
| Mono County | 56 | 12.1% | 18.6% | 3.7% | 2.9% | 1.6% | 1.4% | $7,890 |
| Sierra County | 57 | 26.4% | 31.6% | 10.3% | 7.7% | 2.5% | 2.8% | $12,643 |
| Alpine County | 58 | 26.7% | 26.3% | 5.7% | 3.5% | 14% | 2.2% | $18,056 |
