Have you paid your dues, Jack?
Yes sir, the check is in the mail.
You are correct. Unfortunately, due to the nature of needing to fulfill orders for each players' role, all 4 roles must be played with.
Solo Play – One player controls all 4 roles and completes all actions for each of them every round. Play will always begin with the Nurse role, but in Solo Play, the player can change the turn sequence of the remaining roles whenever necessary.
Definitely not a deal breaker for me. After working at the Army Medical Center/School, I am definitely interested in the theme, especially since you refuse the streamline the solo play because it doesn't make thematic sense. THAT'S a decision I can respect.