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This paper develops US household poverty estimates through an assessment of the market costs of basic, wellbeing-essential goods and services, and gauging the degree to which households’ earnings on economic markets are sufficient to cover them. My results suggest that over one-third of US households were unable to sustain their access to basic necessities through markets in 2012. America’s market economy is not providing sufficient earning opportunities or a sufficiently affordable, abundant access to basic necessities to enable a large proportion of US households to secure basic needs. Public welfare programs channel a disproportionate amount of aid to the elderly, while support for households with children seems weaker.