Just to clarify, West Virginia is NOT a scary place. People tend to give WV a bad rap, but it is absolutely beautiful here. WV is truly a gem that many people don't know about. Yes, way out in the middle of nowhere, it can get sketchy. I've been to Nevada, it can get sketchy as hell there too, trust me. Having a med school next to the Las Vegas strip didn't appeal to me at all when considering Touro. Every state has their sketchy parts. I'm from MN, arguably one of the better states in the nation (Mayo Clinic, low unemployment rate), and even MN has its sketchy areas. Everywhere in and around Lewisburg is great.
In addition, you don't have to go into rural medicine. A misconception is that you HAVE to do rural medicine. Yes, I probably will work in a more rural area, but plenty of my classmates are going to work in urban and suburban areas as well.
For real though, just sit down and think it out yourself. You're just going to get people on here who are bias for the most part, write out a pros and cons list and do work
good luck mate!