One type of abbreviation that screenreaders struggle with is initialisms such as USA or CEO. My work requires that all websites be accessible to people who speak one of ten languages common in my city and to people with disabilities who use screenreaders and other assistive technology devices. One difficulty that can occur is how to handle abbreviations. It is often inconvenient to write out everything, but web developers do not want people to hear USA as the word “usa.” This would cause the reader to have to momentarily stop and think about the words (or even to adjust the screen reader’s settings) instead of focusing solely on the content or message of the passage. Using dots or spaces may help … sometimes, but that can interfere with other assistive technologies. I have neither read of nor heard about a perfect solution; I just wanted to point out one issue that has been discussed recently in the assistive technology and website design fields.