The document discusses design principles for accessibility on Mac OS X. It covers three main focus areas: users, technologies, and developers. For users, it discusses considerations for visual, auditory, cognitive and physical disabilities. It provides examples of built-in accessibility features like VoiceOver, adjustable font sizes, sound alternatives to audio feedback, full keyboard support, and simplifying interfaces. For developers, it recommends following principles of perceivable, operable, understandable and robust design when implementing universal access.