A recent Hurricane/EOC exercise lead me to think about this. I am a GIS Coordinator for a county government and we have an increasing non-english speaking population in our area. I thought it would be a good idea to have a tool that would translate English text to Spanish so that maps could be provided to Spanish speakers (i.e. Evacuation Ruote Map, Shelter Location Map, etc.).
Basically, you would create your MXD and provide it as normal. But there would be a tool that would copy that MXD and translate the English text to Spanish. This would also keep one from having to make multiple maps.
Just a thought.