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This article utilizes one of the largest qualitative samples I have seen in a long time. While the sample suffers from some selection bias and generalizability, the authors do a good job of discussing this in the limitation section. If I were to offer any suggestions for changing or making modifications, I would like to see the authors add a discussion on what is novel about this article. Much of what is reported here has been discussed in the literature extensively. It would add to the paper’s value to see a discussion on innovation.