As of the census of 2000, there were 11,800 people, 4,711 households, and 3,330 families residing in the county. The population density was 24 people per square mile. There were 5,656 housing units at an average density of 11 per square mile. The racial makeup of the county was 98.30% White, 0.13% Black or African American, 0.25% Native American, 0.29% Asian, 0.20% from other races, and 0.83% from two or more races. Approximately 0.56% of the population were Hispanic or Latino of any race. There were 4,711 households out of which 31.20% had children under the age of 18 living with them, 57.40% were married couples living together, 10.10% had a female householder with no husband present, and 29.30% were non-families. 25.90% of all households were made up of individuals and 14.30% had someone living alone who was 65 years of age or older. The average household size was 2.46 and the average family size was 2.93. In the county, the population was spread out with 24.60% under the age of 18, 7.90% from 18 to 24, 26.30% from 25 to 44, 23.30% from 45 to 64, and 18.00% who were 65 years of age or older. The median age was 39 years. For every 100 females there were 92.10 males. For every 100 females age 18 and over, there were 87.70 males. The median income for a household in the county was $30,421, and the median income for a family was $37,474. Males had a median income of $27,670 versus $15,909 for females. The per capita income for the county was $15,825. About 12.80% of families and 17.20% of the population were below the poverty line, including 22.60% of those under age 18 and 16.20% of those age 65 or over.
Both the Republican and Democratic parties split control of the local elected offices in Madison County.
State
All of Madison County is a part of Missouri’s 156th District in the Missouri House of Representatives and is currently represented by Shelley Keeney. The 156th District includes all of Bollinger and Madison counties as well as most of Wayne County. All of Madison County is a part of Missouri's 27th District in the Missouri Senate and is currently represented by State SenatorJason Crowell. Crowell defeated by almost a two-to-one margin, 64.24-35.76 percent in the district. The 27th Senatorial District includes all of Bollinger, Cape Girardeau, Madison, Mississippi, Perry and Scott counties.
Federal
Madison County is included in Missouri’s 8th Congressional District and is currently represented by Jason T. Smith in the U.S. House of Representatives. Smith won a special election on Tuesday, June 4, 2013, to finish out the remaining term of U.S. Representative Jo Ann Emerson. Emerson announced her resignation a month after being reelected with over 70 percent of the vote in the district. She resigned to become CEO of the National Rural Electric Cooperative.
Missouri presidential preference primary (2008)
In the 2008 Missouri Presidential Preference Primary, voters in Madison County from both political parties supported candidates who finished in second place in the state at large and nationally.
Former U.S. Senator Hillary Clinton received more votes in Madison County during the 2008 primaries than any candidate from either party.