The plugin offers a couple of accessibility options that aren't part of WordPress already and is fairly easy to use. However, it does not add or remove title attributes correctly. It doesn't work with images: no setting alt, no title, and no changing default image insert options.
The other stuff is already a part of WordPress or its themes.
This plugin appears to be made for those who don't know how to properly create a webpage or are using very old versions of WordPress.
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