I had a student from the Soviet Union in my class. He said they had no funding for all the nice things we had in chemistry class. But that the difference was that he had never seen so many people unwilling to learn anything, as he had noted of American students.
I had a coworker this happened too.
He was in his late 40s when this happened and so had to use a screen reader instead of a Braille display.
He used edlin over putty on Windows. Since Jaws ran best there for him. He had to stop working on languages like Python where a screen reader is of little help.
Python is totally possible with a screen reader; the screen reader just needs to read out punctuation. It's easier with a self voicing application like emacs.