You’re talking about a lottery, which randomly distributes them - which is only fairer in the sense it’s unpredictable, not that anyone that actually needs it would get what they need.
It’s typical gaming of the system, and shortly it’s going to have to switch to punishing those gaming it or it will spiral even more out of control.
My son runs into the phony accommodation game in middle school. The latest BS is to get a dyslexia diagnosis, which lets you have more time and take a 90 minute break (where they look up the answers). 9 kids discovered that they have this condition in 8th grade. Performance impacts eligibility for placement in some programs in high school.
If the kids didn’t know it, I wouldn’t have an issue with it. But they do, and abusing accommodations and gamification of zero integrity behavior undermines society in a small way.