Having lived my entire life in rural WV, I have to say it is indeed a beautiful place to live.
Unfortunately few own the mineral rights to the property they reside on and you are bound to right-of-way agreements made with the former owners of your property. For example my former father-in-law sold a natural gas line right-of-way through our property for a little bit of nothing. He could have acquired the use of the "free" gas at the time as part of that agreement but didn't know that. We tried to acquire access about twenty years ago and was told we'd have to connect to the commercial line 1/4 mile down the road. Make sure you fully research any property thoroughly before purchasing to avoid any surprises in the end. I'm honestly not sure of rights when it comes to fracking.
As for healthcare, I'm finding that it's probably the best it's ever been, but I could be biased because I have a good doctor and few health problems. My husband and daughter both had open heart surgery at WVU Ruby and Children's Hospital and couldn't have asked for better care.
The education system needs work. Because my daughter has some learning disabilities we opted to send her to pre-K this past year. While the teacher, principal and school were excellent, I've had to constantly keep on the board of education to follow through with the therapies I was promised she would get.
Class size here is relatively small which is great because the kids get more individualized attention.
The main problem I've seen concerning "outsiders" has usually occurred when the new person treats the locals as ignorant. From memory, I know of an instance where the outsider called the law because a car was parked with one tire six-inches on the pavement of a road that dead-ended. If the offending party had been asked, they would have gladly moved the car even though there was plenty of room to get around it. Another man went home and found a
fence and no trespassing sign across his driveway, in which he had a right-of-way. Of course it goes the other way too. Sometimes the locals refuse to respect the new property owner. For instance, they've been hunting or riding ATVs on that land for years and think that they should retain the right.
Basically it pays to talk with the neighbors and see how receptive they are to strangers. In some areas you'll always be "the new people," but in others you will be welcomed and considered a neighbor. Honestly the key is usually respecting one another. At one time I managed about twenty people who were required to make home visits. One thing I stressed was to give the homeowner a compliment. For instance if there's an old classic car in the driveway, start a conversation about it. If there's a flower or shrub in the
yard, compliment it. Even if there's a pile of junk in the yard, find something to compliment. Usually if you show a common interest and are polite, people will be more welcoming.
Water can be an issue. When I was a kid, we had excellent well water, while neighbors a mile away had iron water so bad I never could drink it. My parents built a new house on top of the hill above our old house and the new well had sulfur water. Some properties have spring-fed cisterns, which is great when it comes to water quality but can be a nightmare when something goes wrong. Other properties will have a municipal water supply, which is more dependable than a well when the electricity is out, but the quality is questionable.
As for jobs, it really depends on the area. Oil and gas jobs have declined and I see many college graduates working at Walmart. Depending on which town we worked in, we had a 40-60 mile round trip commute everyday. I gave up on my degree when I realized I'd have to commute 1-2 hours or move to work in a field where I could have made good money but been completely miserable. We currently are self-employed and I'm planning to venture into market
gardening next year. Taxes have increased greatly since I fist moved here but are minute compared to what family in other states are paying.
Meth has become a big problem in rural areas too. No, not everyone is a meth head, but it's more prevalent than it was in the past. Theft related to drugs is common.
For me, the benefits of the state far outweigh the disadvantages. I could easily prowl around naked on my property, though I never will. I can hear the sounds of frogs and whippoorwills during the night and be lulled to sleep by crickets in the summer. I can hang my laundry on the line if I wish. There are plenty of state parks to visit if I feel the need to get away and woods to explore. I can drive thirty minutes and get a home-cooked meal, fast food or an elegant dining experience.
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I wish you the best in this. 
