Fauquier County: Medicaid dependency reached 1.9% in 2022

Fauquier County: Medicaid dependency reached 1.9% in 2022
John Lettieri, President and CEO of Economic Innovation Group — Official Website
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In 2022, Medicaid transfers in Fauquier County totaled $115.83 million, amounting to $1,551 per capita, or 16.3% 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 $288.59 million, equating to $3,865 per capita and making up 40.7% of total transfers.

Comparatively, Medicaid transfers across Virginia amounted to $19.55 billion, ranking second lowest among all transfer types within the state. This translates to an average of $2,251 per capita, or 20.8% of total government transfers. Including all transfer types, government transfer payments totaled $93.88 billion, accounting for 15.7% of residents’ total income, with an average of $10,811 per resident.

Medicare was the second largest contributor in Fauquier County in 2022, accounting for $170.76 million, averaging $2,287 per capita, representing 24.1% of transfers. Income Maintenance transfers provided another $48.03 million, averaging $643 per capita and comprising 6.8% 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 17.4% of the population aged 65 and older, Fauquier County has a significant demand for programs like Social Security and Medicare. Despite this aid, the total per capita income in Fauquier County, excluding government transfers was $73,377, which is below the county’s total income of $82,872, emphasizing the role of government transfers in overall income.

When comparing 2022 to the previous year, Fauquier County saw an increase in its Medicaid transfer dependency by 0.3%, 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 Fauquier County, reliance on government transfers has similarly increased from 5.2% (or $1,294 per capita) in 1970 to 11.5% (or $9,495 per capita) in 2022.

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 Fauquier County, 2022

2022 Virginia 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 ($)
Fairfax County 1 7.6% 15.1% 2.7% 1.6% 1.2% 0.6% $7,726
Fairfax city 1 7.6% 15.1% 2.7% 1.6% 1.2% 0.6% $7,726
Virginia Beach (Independent City) 3 16.3% 15.9% 5.2% 3.2% 2.6% 1.4% $10,750
Prince William County 4 12% 11.3% 3.5% 2.2% 2.3% 1.4% $7,645
Chesterfield County 5 15.9% 16.1% 6% 3.6% 2.9% 1.5% $10,184
Henrico County 6 13.5% 17% 5% 3.1% 2.8% 1.5% $10,380
Richmond (Independent City) 7 17.5% 14.1% 4% 3.1% 6.7% 2.3% $12,417
Norfolk (Independent City) 8 25.4% 13% 5.5% 4.2% 8.1% 3.5% $12,186
Chesapeake (Independent City) 9 18.3% 14.5% 5.5% 3.6% 3.2% 1.8% $10,688
Loudoun County 10 5.7% 10.8% 2.1% 1.3% 0.7% 0.5% $5,534
Newport News (Independent City) 11 25.5% 14.1% 6.6% 4.7% 6.4% 3.8% $11,968
Campbell + Lynchburg County 12 32.6% 21.5% 9.1% 6.4% 9.6% 3.2% $14,798
Hampton (Independent City) 13 27.6% 16.6% 7.5% 5% 6.5% 3.4% $13,406
Spotsylvania + Fredericksburg County 14 16.4% 15.2% 5.1% 3.6% 3.1% 1.7% $10,267
Pittsylvania + Danville County 15 37.7% 24.7% 11.5% 7.9% 11% 4.3% $16,975
Augusta County 16 23.4% 22.6% 9.2% 5.6% 4.4% 2.1% $12,368
Roanoke + Salem County 17 21.3% 22.1% 8.5% 5.7% 3.3% 1.4% $12,598
Albemarle + Charlottesville County 18 10.5% 20.5% 4.3% 2.4% 1.9% 0.9% $9,527
Roanoke (Independent City) 19 30.2% 17.9% 7.6% 5.9% 9.2% 4% $15,349
Stafford County 20 13.9% 11.4% 3.7% 2.5% 2% 1.2% $9,052
Arlington County 21 5.4% 12.1% 1.8% 1.2% 1% 0.5% $6,090
Portsmouth (Independent City) 22 31.3% 15.4% 7.1% 5.7% 9.8% 4.6% $14,382
Dinwiddie County 23 37.9% 19.2% 9.2% 8.7% 10.8% 4.6% $17,388
Rockingham + Harrisonburg County 24 18.5% 20.2% 6.8% 4.5% 3.4% 1.9% $9,496
James City + Williamsburg 25 17.4% 26.7% 7.4% 4.7% 1.4% 1% $13,205
Suffolk (Independent City) 26 21.1% 15.3% 5.7% 4.1% 5% 2.2% $12,831
Frederick + Winchester County 27 16.5% 18.8% 6.4% 3.8% 3.1% 1.5% $10,260
Alexandria (Independent City) 28 7.4% 13% 2.3% 1.5% 1.5% 0.8% $7,739
Henry + Martinsville County 29 38.4% 24.8% 11.8% 8.7% 10.9% 4.2% $18,234
Hanover County 30 14.2% 19.2% 6.3% 3.9% 1.8% 0.9% $10,262
Washington + Bristol County 31 32.1% 24.7% 11.8% 7.7% 6.4% 3.3% $14,979
Bedford County 32 23.6% 23.2% 9.7% 5.5% 3.9% 1.7% $12,940
Bedford city 32 23.6% 23.2% 9.7% 5.5% 3.9% 1.7% $12,940
Montgomery + Radford County 34 18.3% 14.1% 6.4% 4.2% 3.5% 1.8% $8,323
York + Poquoson County 35 14.3% 17.7% 5.6% 2.8% 1.4% 1% $9,728
Franklin County 36 26.4% 24.8% 10.3% 5.7% 5.2% 2.3% $13,880
Franklin city 36 26.4% 24.8% 10.3% 5.7% 5.2% 2.3% $13,880
Prince George + Hopewell County 38 28.5% 13.2% 8.4% 5.6% 6.5% 3.8% $11,315
Wise + Norton County 39 45.1% 20% 14.4% 9.7% 11.3% 5.2% $18,549
Fauquier County 40 11.5% 17.4% 4.7% 2.8% 1.9% 0.8% $9,494
Tazewell County 41 39.3% 23.6% 13.4% 9% 8.1% 4.3% $17,291
Carroll + Galax County 42 40.1% 26.4% 11.9% 9.1% 12.5% 3.7% $17,957
Culpeper County 43 19.4% 16.8% 6.9% 4.5% 4.1% 1.8% $10,828
Shenandoah County 44 22.3% 22.2% 8.5% 5.5% 4.3% 2% $12,657
Halifax County 45 37.7% 25.8% 12.2% 8.1% 10.4% 4.1% $16,787
Accomack County 46 29.1% 26% 10% 6.8% 6.9% 3.2% $15,776
Mecklenburg County 47 37.4% 27.1% 13% 9.2% 8.6% 3.7% $17,040
Orange County 48 22.9% 20.5% 8.5% 6.2% 3.4% 1.8% $13,473
Gloucester County 49 22.2% 21.1% 8.1% 5.1% 3.8% 1.8% $12,743
Isle of Wight County 50 19.5% 20% 7.2% 4.3% 3.3% 1.5% $12,467
Pulaski County 51 30.4% 23.4% 11.1% 6.8% 7.1% 3% $14,611
Smyth County 52 37% 22.9% 12.2% 8.5% 9.3% 4.3% $16,428
Louisa County 53 23.6% 21% 9.2% 5.5% 4.6% 2.1% $11,963
Rockbridge County 54 26.7% 27.5% 10.4% 6.3% 5% 2.3% $12,931
Warren County 55 19.9% 17.3% 6.9% 4.9% 4.2% 1.9% $11,183
Amherst County 56 32.4% 22.2% 11.4% 7.8% 7.6% 3% $14,496
Russell County 57 43% 23.7% 14.7% 10.1% 10.1% 4.8% $17,290
Botetourt County 58 21.5% 24.1% 8.8% 5.1% 3.3% 1.4% $12,819
Wythe County 59 34.2% 22.3% 11.8% 8.5% 7.4% 3.4% $15,223
Southampton + Franklin County 60 31.3% 22.1% 9.4% 6.7% 9.2% 3.6% $15,739
Lee County 61 47% 23.2% 13.7% 8.9% 14.5% 6.3% $18,105
Buchanan County 62 44.7% 24.3% 15.9% 9.3% 11.1% 5.4% $20,234
Caroline County 63 22.6% 17.1% 7.5% 5.5% 4.6% 2.5% $11,660
Alleghany + Covington County 64 38% 26.2% 12.4% 9.3% 8.6% 3.5% $17,584
Scott County 65 41.8% 25.4% 14.3% 10.3% 9.9% 4.3% $16,552
Page County 66 28.2% 22.4% 10.4% 7% 5.8% 2.6% $13,840
Powhatan County 67 14.5% 20% 6.9% 3.6% 1.6% 0.9% $9,860
Prince Edward County 68 35.2% 16.9% 10.3% 8.6% 8.9% 3.8% $13,925
Fluvanna County 69 20.3% 21.5% 9% 4.9% 2.8% 1.5% $10,816
Goochland County 70 9.8% 24.5% 5% 2.3% 1% 0.5% $11,441
Patrick County 71 39.5% 27.3% 13.8% 9.4% 8.9% 3.9% $15,903
New Kent County 72 10.9% 18.4% 4.5% 3% 1.1% 0.7% $11,160
Westmoreland County 73 29.3% 27.5% 10.6% 7.7% 5.4% 3% $14,822
Dickenson County 74 48.7% 24.6% 16.4% 11.8% 12.1% 5% $19,994
Brunswick County 75 41.1% 22.3% 11.6% 8.7% 12.7% 4.6% $16,903
King George County 76 14.8% 14.4% 4.6% 3.5% 2.4% 1.4% $9,471
Nottoway County 77 37.3% 18.5% 9.3% 7.5% 13.4% 3.8% $16,770
Greensville + Emporia County 78 39% 16.5% 10.5% 7.8% 13.1% 5.1% $15,317
Nelson County 79 26.9% 29.5% 10.6% 7.2% 5% 2% $17,399
Giles County 80 31.3% 22.3% 10.8% 7.8% 7.2% 2.8% $15,487
Appomattox County 81 30.8% 21% 10.2% 7% 7.6% 3.3% $14,139
Northampton County 82 30.9% 29.9% 9.6% 6.5% 9.5% 3.1% $19,870
Buckingham County 83 36.5% 20.5% 10.6% 10.4% 9.1% 3.9% $13,823
Northumberland County 84 30.7% 37.2% 12.8% 9.5% 4.2% 2% $18,848
Grayson County 85 38.1% 25.9% 14.2% 7.7% 9.5% 3.7% $14,843
Greene County 86 20.6% 19% 7.7% 4.6% 3.9% 2% $10,623
Floyd County 87 28.7% 24.7% 10.7% 6.5% 6.3% 2.4% $14,012
King William County 88 20.5% 17% 7.8% 5.2% 3.7% 1.8% $11,196
Lancaster County 89 25.6% 38.6% 11.7% 6.2% 3.9% 1.9% $18,546
Middlesex County 90 29.7% 33.1% 11.9% 7.7% 5.3% 2.2% $17,882
Charlotte County 91 37.5% 22.7% 11.7% 9.9% 8.6% 4% $16,976
Amelia County 92 25.8% 21.2% 9.3% 6.1% 5.7% 2.3% $13,668
Clarke County 93 14.8% 23% 6.4% 3.9% 2% 0.8% $11,532
Essex County 94 32% 24.3% 11% 8.3% 7% 3.3% $16,528
Lunenburg County 95 35.7% 23.6% 11.8% 6.9% 9.4% 4.3% $13,916
Madison County 96 20.4% 23.2% 8% 4.5% 4.4% 1.8% $11,540
Sussex County 97 38.2% 19.5% 11.4% 8.8% 10.8% 4.4% $14,413
Mathews County 98 25.3% 32.6% 10.2% 6.7% 4.6% 1.5% $17,198
Cumberland County 99 28.9% 23.6% 9.8% 4.5% 9% 3.6% $13,408
Richmond County 100 30% 21.7% 10.5% 7% 7.1% 3.2% $12,814
Richmond city 100 30% 21.7% 10.5% 7% 7.1% 3.2% $12,814
King and Queen County 102 26.1% 24.2% 10% 5.9% 5.5% 2.6% $14,439
Surry County 103 28.3% 25.7% 10.6% 6.2% 6.1% 2.7% $14,837
Charles City 104 25.5% 27% 10.6% 5.2% 5.5% 2.2% $14,560
Bland County 105 35.5% 25.5% 13.7% 8.7% 6.8% 2.4% $15,123
Rappahannock County 106 14.8% 28.9% 7.3% 3.4% 1.7% 1% $11,764
Bath County 107 22.9% 29.7% 8.4% 7.1% 3.9% 1.6% $17,143
Craig County 108 28.8% 25% 11.5% 6.1% 5.4% 2.6% $13,628
Highland County 109 29% 38.2% 13.7% 6.8% 4.1% 1.7% $14,651


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