My personal theory is that Roger hates both hospitals and doctors. I'm not sure where the theory came from, but I'm going to run with it. What if when he read April's note, he assumed that he had AIDS as well, and never went to get tested? He gets his drugs off sellers on the street, never goes for a prescription. The challange is to get Roger tested somehow, and go with how life would be for he and those who love him if it turns out that he was HIV/AIDS free. Extra points if you twist it into a M/R.
The 'Tie Me, Take Me' Challange. You can use any two *or more* character(s) from the musical. The challange is to take the person least likely to be the 'bottom' in a kinky bondage situation, and make it so. There doesn't need to be an intricate explanation of how they got there, but you can certainly include one if you like. The big catch is, it can't be a non-con. The partners both have to be willing.