* A looming shortage of primary care providers. Jones said it is estimated that by 2020 there will be a shortage of 90,000 physicians across the country.
* Integration of health care providers. Under Obamacare, various health-care entities are supposed to coordinate their activities and emphasize wellness. "How do you get all of these people who are independent to work together?" he asked.
* Access to capital. Jones said that only two or three hospitals in the state now have a rating of "A" or better. The hospitals' aging facilities and their razor-thin operating margins means they will have difficulty raising money in the bond markets.
* Lack of vision. "We've failed to consolidate as banks, food stores, pharmacies and other industries have done," he said.
"I think there are a lot of positives -- the sector has good employers with good jobs," Jones said. "But there are a number of challenges. I think there will be a number of bumps in the road."
Steve McGowan of the law firm Steptoe & Johnson, a lifelong Boy Scout leader, told the economic outlook conference that to date the Scouts have a total of $250 million in commitments for the Summit Bechtel Family National Scout Reserve in Raleigh County.
"I don't think it will compete with the existing adventure market," he said. "Our market target is Boy Scouts and their families. I think it will be an 'all boats shall rise' situation."
Reach George Hohmann at busin...@dailymail.com or 304-348-4836.