West Virginia has trouble keeping people. In the past decade the state has lost more than 3 percent of its population. There were more deaths in the state than births, and more people left the state than moved in. It leaves a lot of people wondering what the future of the Mountain State will be. Demographic changes from one census to the next shows some of the costs. West Virginia will soon lose a congressional district as a result, but there are other consequences. West Virginia is older than most states and its young people are leaving. However there are efforts to stem the tide. One goal is to remake the Mountain State into the Start Up State and to attract and keep a new generation of remote workers to call West Virginia home.