Comment by ClawsOnPaws

It is just random bugs. Switching punctuation schemes. The terminal doesn't read very well, VoiceOver loves to say "not responding" in Safari and locks up, live regions don't always read correctly, quick nav (basically automatically holding down the voiceover modifier so you can more quickly use navigate through the screen) adds random delay to each key press, it's just lots and lots and lots of small issues like this that compound. This is just a small list of them. None of them are a huge problem by itself, but combined they do make things frustrating sometimes. And then of course the ability to script badly behaving, or completely inaccessible, apps is just missing, so you can't fix apps even if you knew how to. And of course VoiceOver on the Mac is all you get. So if you don't like it, tough luck. You won't ever get a real alternative that can access what VoiceOver can.