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Through interviews with 20 BLV workers across various tech companies, we uncover a persistent misalignment between organizational attempts at accessibility and the current realities of these employees. We introduce the concept of the accessibility paradox, which we define as the inherent tension between the productivity- and profit-driven nature of tech companies and their desire to hire and retain disabled workers. Focusing on the experiences of BLV workers, we show how the accessibility paradox manifests in their everyday workplace interactions, including digital infrastructure, accommodations processes and policies, ability assumptions, and competing priorities. 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