Don't Trumpers benefit disproportionately from the social programs they hate?
AI Overview
There is significant evidence that many counties with strong support for Donald Trump and the Republican Party are heavily reliant on social programs, such as Medicare, Social Security, and federal-level Medicaid benefits.
Disproportionate reliance on social safety net
Research from the Economic Innovation Group published in late 2024 revealed a strong correlation between voting patterns and reliance on government transfers.
The study found that Donald Trump received 63% of the vote among "significantly reliant counties," where at least a quarter of personal income comes from government transfers like Social Security, Medicare, Medicaid, unemployment benefits, and the Earned Income Tax Credit (EITC).
In contrast, Joe Biden and Kamala Harris tended to perform better in counties with minimal reliance on government transfers.
Geographic and demographic factors
This pattern is driven by several demographic and geographic factors, with many rural areas that lean Republican showing a higher need for government assistance.
Older populations in rural areas: A 2025 analysis by the USDA found that rural counties have a higher proportion of older residents compared to urban areas, leading to increased reliance on federal benefits like Social Security and Medicare.
Persistent poverty: These high-dependency, often-rural counties have higher poverty rates and lower wages, making residents more reliant on the social safety net to make ends meet.
Medicaid reliance: A KFF Health News analysis found that more than two-thirds of the counties with the biggest growth in Medicaid and the Children's Health Insurance Program (CHIP) between 2008 and 2025 had voted for Trump in the 2020 election.
Conflicting attitudes
Despite high rates of participation, many Republican voters express skepticism toward the same programs that benefit their communities.
Views on government aid: A Pew Research Center poll in mid-2024 found that Republicans are more likely than Democrats to say that government aid to the poor does more harm than good.
Skepticism toward welfare: A 2019 Cato Institute survey found that 68% of Republicans believe that welfare creates dependency, while 71% of Democrats think it helps people get back on their feet.
Republican Medicaid enrollees: A June 2025 KFF poll found that even among Republican enrollees in Medicaid, many were divided on whether the Trump administration's policies would ultimately strengthen or weaken the program, though majorities of Democrats and Independents thought it would be weakened.
Differing views on specific programs: While there are broad partisan differences regarding programs for the poor, Pew data from 2012 indicated that Democrats and Republicans use Social Security and Medicare at roughly equal rates. This may explain why support for these programs is strong across the political spectrum, even as Republicans are more critical of means-tested programs like food assistance.