Sight is one of the senses most programmers take for granted. Most programmers would spend hours looking at a computer monitor (especially during times when they are in the zone), but I know there are blind programmers (such as T.V. Raman who currently works for Google).
If you were a blind person (or slowly becoming blind), how would you set up your development environment to assist you in programming?
(One suggestion per answer please. The purpose of this question is to bring the good ideas to the top. In addition, screen readers can read the good ideas earlier.)