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Besides the interesting discussion on the fundamentals of Linux for accessibility, I think it’s also worth examining some of the points raised.
I’d say the biggest risk in this line of reasoning is that creating purpose-built systems for a specific group of users often leads to a lack of support for relevant apps and even for the OS itself, since it’s not self-sustaining.
The underlying principles and best-practices are there to make apps and the web accessible, and stripped-down versions are often limited in functionality and support, even if they’re easier to make accessible.
CLIs and things like Markdown can be super accessible, but they’re also intimidating to lots of users. They’re also often harder to get help with.
Anyway, this discussion on Stack Exchange will tell you most of what you need to know about blind-focused Linux: abandoned and discontinued.