This article in Computer World is pretty accurate with respect to where accessibility stands today for individuals who are blind. While I think the writer’s emphasis on the shortcomings of Narrator creates somewhat of a false impression of how full screen readers work, the main themes of the article are pretty accurate. People who are blind still have to work way too hard to use computing technology and far too often one upgrade or web site change can set things back. There are also far too many instances of blocking accessibility issues encountered almost daily.
The comments are also worth a read.
The article has also been making the rounds at Slashdot.