I’ll drink the half-full glass: accessible gaming hardware is more widely available than it has ever been.
Big corporation Microsoft bad, but as the article points out, they have been one of the major players in the accessibility field with hardware and software accommodations to help meet some of the common needs of disabled gamers. Valve’s platform allows for dynamic reprogramming of just about any key binding that I can think of to get around games that have their inputs hard coded in.