Yes, we are saturated with the media portrait of Skaggs Community Hospital, as "the best little hospital this side of Mass General".  I for one cannot dispute the accolades, but am troubled by a recent close encounter with the ER.  Pretty common story, chest pains, dizzy, unconscious, EMT, emergency room and then..........a sense that their triage protocol was compromised by the obvious fact that they were doing "primary care" for the Taney County poor/under insured. Admin/Nures/Docs all had that air of mild contempt for the imposition of the days dubiously entitled customers and had lost all discression as to which "carbon units" were either paying, or at risk, or both.   My hope is that next time "through the doors', I would like a little less objectiification and a little more action....please!