Hm. A lot of this should be easy for sites who care about modern design. A few anecdotes: - Any valid HTML site has an `alt` attribute in all of its image tags

Hm. A lot of this should be easy for sites who care about modern design. A few anecdotes: - Any valid HTML site has an `alt` attribute in all of its image tags. This helps screenreaders read the image, and could probably satisfy the "spoken captions of images" requirement. - Sites that cleanly separate layout from presentation are already quite easy for screenreaders to parse. Go ahead and run `links -dump http://wikipedia.org/wiki/Blindness` http://wikipedia.org/wiki/Blindness` for example; it just has a bit of boilerplate and then the content begins. There's even "Jump to: [navigation], [search]" links that are hidden with CSS for those who don't use it. I think this will primarily affect sites that rely heavily on javascript to try and create the sense of a large application. This is another good argument to separate the presentation and logic from the content of the site.