WV is not a lost cause...it had the lowest turnout in 2016 of all the states
Someone posted a very interesting article about Appalachia one time, effectively disproving the notion that poorer people (who used to vote Democratic) are ALL jumping ship to the GOP, pointing out that many of them actually stopped voting. Wish I could find it. I bet if you looked at the WV turnout maps from 2008, 2012 and 2016, turnout was probably down in traditionally Democratic areas.
I'd be really interested in reading that sometime.