Copyright law has supported a global publishing regime delivering uneven levels of access to print materials. For people with visual disabilities, the problem is compounded by lack of access to materials in useable forms. Governments have addressed the problem by targeting instances of direct conflict between the interests of copyright owners and the rights of visually disabled citizens. Recent developments in international copyright law suggest that advocacy by disabilities activists is beginning to change how the problem is framed. This chapter argues that innovations in public and non-profit sector strategic management can assist this recalibration and build the required consensus.