Whether I care depends on the accommodation they're seeking.

When I was in school, the department that dealt with accessibility could chop the spine off a book, scan it and give you a high quality ebook. I also knew someone who was flagrantly cheating with some test-taking accommodation.

That ebook service was just a nice thing that more people should have taken advantage of. One or two of the professors even subtly encouraged using it to pirate textbooks.