I'm used to the way things are and don't think they need to change. We can change a screen reader or people can make another one like NVDA but at the end of the day it's the developers who need to change their sites and the programmers who need to make their programs more accessible. If we made everything usable with this super new tech or screen reader, it would be great for us but it would allow the web developers/programmers to slack off more than they usually do.

I'd say the "everything's a beep" model would work well. There's a huge amount of information that can be sent using a series of standardized beeps and similar tones. With pitch and tone changes to underlying beep formats to denote difference within a category. Literally you could have a folder beep and then change the beep depending on what you're doing with teh folder or what type of folder it is. Likewise you could have a file beep, maybe the folder beep is a different version of the file beep with the same changes applied to it. Or it could be 2 really fast beeps to denote the folder/file relationship. This mimics the same way you can have different types of icons for different types of folders and files but they all mostly look the same at their base. Likewise for operations, you don't need to speak out every little operation, beeps and other types of sounds can give all the information needed. Words should only be used when words already exist and are mutable, like filenames. But operations that involve words like, new folder, don't need to be spoken. It's always going to be called "new folder", the words are thus immutable, so you can replace it with a sound. Likewise with certain folder names for showing full paths. System or root folders will likely never change their name, so can be denoted with a beep. You could potentially represent certain full paths many folders deep with just a single beep with tone and pitch transformations. Obviously there should be an option to speak it out anyways for beginners or people who've never used that thing before. The speak out function should be a single or at most double hotkey on the keyboard so it's always easy to access at a moments notice. Literally like every time you press Alt it should speak out whatever thing you're currently on or doing. Then when you know the sound you can use just the tone. Also the ability to assign your own custom quick tones for things you do often even if the text is mutable. You can cram in a wide variety of beeps and swishes and whatnot all with their own tone and pitch transformations into a tiny amount of time and convey ridiculously huge amounts of information since each beep could itself be symbolic for some complex multilayered piece of data. It does become like another language but for a lot of people navigating and using a computer is already like that.