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In response to a recent ten-year systematic review by Weiner et al chronicling the contribution of qualitative methods, this Medical Care Research and Review article discusses possible reasons for lack of progress in some areas, including the under-supply of well-trained qualitative researchers and more tangible demand for their research. To ensure a robust health services research workforce, the article argues that the field must take additional steps to provide stronger education and training in qualitative methods and more funding and publication opportunities.