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I have added for your convenience several links to accessibility links.  These include three communication links and three screen reader links as indicated and described below:
Windows Live Messenger makes it easier than ever to stay connected to the people you care about.

Skype-to-Skype calls, video calls and instant messaging are free, any time of the day or night, anywhere in the world.

ICQ is a personal communication tool that allows users to meet and interact through instant messaging services such as text, voice, video and VoIP as well as various entertainment and community products.

Narrator is a text-to-speech utility for people who are blind or have low vision. Narrator reads what is displayed on the screen—the contents of the active window, menu options, or text that has been typed. This procedure tells you how to turn on and use Narrator. Note  Narrator is designed to work with Notepad, WordPad, Control Panel programs, Internet Explorer, the Windows desktop, and some parts of Windows Setup. Narrator may not read words aloud correctly in other programs. Narrator has a number of options that allow you to customize the way screen elements are read.

Thunder is award-winning free screenreader talking software for people with little or no sight. Thunder is a Windows XP and Vista program that is free only for personal use. It comes with a text browser that you need to use to browse the Internet. The browser is optimized for speech software in that it cuts out the visual clutter and presents the website in a line-by-line text. Other features include an Internet radio software which supports RSS news feeds and podcasting. You will need to supply your email address before you can download the software.

Orca (Linux) Orca is an assistive technology for people with visual impairments. It uses a combination of speech synthesis, Braille and visual magnification to accomplish its task. It is designed to work with applications that support the assistive technology service provider (AT-SPI), including the GNOME desktop and its applications, Firefox, OpenOffice and the Java platform. Orca is a Linux program and is part of the GNOME platform. It comes by default in some Linux distributions.