@leapingwoman I've talked to screen reader users who still get enormous value out of the vision LLMs - they're generally reliable for things like text and high level overviews, where they get weird is more detailed descriptions
Plus the best hosted models (GPT-4o, Claude 3.5 Sonnet, Gemini 1.5 Pro) are a whole lot less likely to hallucinate than the ones I can run on my laptop!
@leapingwoman I use Claude 3.5 Sonnet to help me write alt text on almost a daily basis, but I never use exactly what it spat out - I always further edit it myself for clarity and to make sure it's as useful as possible