I'm a totally blind developer and have never gotten Linux to work very well. What distro do you use? I'm also curious if you run Linux in VM's with speach? I think part of my problem may be bad audio support in Virtualbox and I may have better luck with VMware. I use Windows 10 every day with Jaws and Windows subsystem for Linux. WSL has noticeably increased my productivity compared to Cygwin do to the larger volume of software that runs in it and no longer having the need to spend time compiling tools from source. I find NVDA to be a pretty good screen reader and you could probably use it full time. I've used Jaws for over 20 years though so it's worth paying the $100 a year to keep up to date rather then spending the time getting used to a new screen reader. It's also nice to have a company you can call for support and talk to someone instantly when your entire ability to do your job depends on screen reading software.