Grew up in Morgantown, WV, have family there still, and will be visiting here shortly for a week.
Okay, here's the problem with WV- They consistently shoot themselves in the foot.
With a shotgun. And for some explainable reason, they take great PRIDE of this act of self-sabotage and general dislike of book smarts.
Morgantown has always had this dual personality, the University crowd and the locals. You see this in a lot of smaller University / College towns, but never at this level. Every time someone tries to make something nice it inadvertently fails because better options are a short drive to Pittsburgh or DC exist.
Very few locals take advantage of what the WVU offers, specially for their children.
Music, theater, arts, math and science courses offered at no cost / low cost. Who's enrolled in them? Mainly the children of the professors.
Outside of Morgantown, it's further nuts. Elkin's WV, which was founded by Swiss immigrants, kept their traditions alive and still celebrated today, but is generally unknown outside of the state. Tamarack near New River, showcases native artistic talent. The White House crystal was made at Seneca Glass Company out of Morgantown.
The list goes on and on.
You can blame the mountains, you can blame the lack of good paying jobs, but in the end, it comes down to the lack of education, the dislike of educated people, and the fear of change.
And here is where it's sad: WV has had a lot of really capable, able, smart people come from it, but that's my point, they came from WV. They didn't stay because they knew there are limited options and choices, and thus had no other choice but to leave.