This article contributes to the discussion on fairness and ethics in MT by highlighting efforts that have been made to use MT for the humanitarian purpose of increasing access to information for groups that are underserved. The article provides an overview of example projects in which MT has been implemented for this purpose in three contexts: civic participation, public health and safety, and media and culture. In addition, the article examines some of the ethical issues surrounding efforts to use MT for accessibility, including issues of quality, acceptability, and the need to involve stakeholders in development.