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...What this means--and here I am suggesting that you may be asking the

wrong question-- is that even if you identify all the 'reasons' why  
'stuff may not be accessible', you might not be any nearer making  
them so. (David)

Thanks everyone for your thoughts - it is great to get more perspectives
on this:-). Concerning the above I'm not really after the reasons as
such - my thought was just that if I had a better understanding of the
reasons, I could put my effort "in the right place" - i.e if one looks
at methods or improving methods to try to "build accessibility" into the
development process - what kind of changes would have the largest
payoff....?

And one such thing may be awareness of the problems of course - at my
department the design students have a short course on this (the
engineering students too, but for them it is not compulsory), which
makes us hope for improvement on this point in the long run:-)

Best wishes!
/Charlotte

Charlotte Magnusson, Assistant Professor
Certec, Division of Rehabilitation Engineering Research 
Department of Design Sciences 
Lund University
Sweden 
tel. +46 46 222 4097 
fax. +46 46 222 4431