Maybe this already exists, and I just haven't heard about it. Would there be value in creating an operating system, maybe a new Linux distribution, targeted at the visually impaired? Rather than trying to layer "accessibility features" on top of applications designed with sighted users in mind, the new OS would consist of software designed entirely around non-visual interfaces. You would want interoperability with standard software (ability to read and save files in Word format, for example), but this doesn't seem very difficult.
Does something like this already exist? If not, does it sound like a good idea? I should say, I'm a sighted person myself, but I've met a few visually impaired folks that put up with a lot of badly conceived "accommodations."
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It's not an OS per se you want, it is either a BUI (Blind Users Interface), or actual apps created from the ground up for visually impaired people.
apple has developed several UI features into OS 10.3 that are for the visually impaired. i have several friends that use these features. it would be nice to see more companies develop tools similar to these. someone should be able to considering that most of the apple apps are open-source.
You could consider using a text interface over a braille terminal. Linux has everything from games to web browsers and office applications that operate natively over a text terminal.