I wish we could use them. Too bad they're not HIPAA-compliant (Mailgun is the only big provider that is, last time I checked)
- Compliance - Support - Security (not keeping things secure - offering custom security options. SAML, user roles, permissions, IP whitelisting, etc) - Customization
Building to support big complex customers is hard and if you get it right from a product and sales perspective, the inertia you can build is massive.