In reply to Ken Clinkenbeard.

you will be hard pressed to find a dev or designer that has not altered/compromised an original design because a11y concerns.

If they had to alter a design, then they were "doing it wrong" in the first place. Every time I have seen a design changed to make it fully accessible, everyone else benefited too.

Designers might view this as a "compromise" of their original design, but the users don't.