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This Hamilton Project policy paper provides a dozen facts on struggling lower-middle-class families focusing on two key challenges: food insecurity, and the low return to work for struggling lower-middle-class families who lose tax and transfer benefits as their earnings increase. These facts highlight the critical role of federal tax and transfer programs in providing income support to families struggling to remain out of poverty.

The highest rates of multidimensional poverty are found in Southern and Western metro areas like Memphis, Birmingham, and Miami, where more than 1 in 5 low-income adults live with multiple disadvantages. The McAllen region exhibits the highest rate of multidimensional poverty overall (41 percent), followed by metropolitan Fresno, where one-third of adults are at least doubly disadvantaged. In each of the regions mentioned, living in a poor area is the most likely additional disadvantage experienced by low-income residents. But in other metro areas with above-average multidimensional poverty rates, different disadvantages come to the fore, like limited education in Stockton, lack of health insurance in Deltona, and lack of employment in Lakeland (see the interactive bar charts below, or the full appendix tables).