HADH hospital in Hermann, Missouri needs more tax revenue to continue operating at its current level of services. The author recently had an unexpected ambulance trip and emergency room visit, and chose to go to HADH instead of a farther hospital. This reminded the author of writing a letter 7 years ago praising HADH's emergency room care. Since then, HADH has expanded its services and the author now gets annual tests done there instead of driving farther. The author argues that the community needs to support HADH through increased taxes, as it provides important services and quality of life for residents.