When people talk about jobs in Ohio, they often talk about the ones that got away.
"Ten years ago, we had steel. Ten years ago, we had coal. Ten years ago, we had plentiful jobs," says Mike McGlumphy, who runs the job center in Steubenville, Ohio, the Jefferson County seat.
Today, the city on the Ohio River is a shell of its former self. And health care has overtaken manufacturing as the county's main economic driver.