Not bad, took me a few tries to figure out what the items & tags are supposed to mean.
I don't quite understand what Monroe actually does, since I'm pretty sure I talked to everyone and he didn't "out" anyone.
Monroe "transformed" into Sanders and Archer basically every playthrough when I still bothered to change them often, maybe that's why he didn't do his job?
I never really needed to rotate the doctors and when the gameplay clicked for me, I managed to complete the game with Sanders only. I suppose faster health loss would help force players into this?
Lots of quest-y stuff crammed into a 48hr game jam, so that's pretty cool! :)