@vriesk @project1enigma @akareilly
Your screen reader choices are basically Orca + either eSpeak voices (which grate on me in sensory terms but can managed to repeat letter input and are the default on install) or Orca + Piper voices (sounds significantly better, great for reading passages, but you cannot command line with it.) Orca now works on Wayland (or specifically, Wayfire, at least -I can't speak to other compositors)
I'm not an every day screen reader user, but my eyes sometimes become non-usable, at which point I'll need one at short notice.