I don't see why screen readers can't just be extended to handle characters that look like F.
Although, like you say, it would be nice if screenreaders could produce verbal descriptions of iconographic symbols. That would be a lot of work but it would be helpful.
If for example someone uses this to write a mathematical formula, having a screen reader says "F" changes the entire meaning.
Could this be done, absolutely, but it is something to be aware of and is something I noticed on Twitter where blind users were complaining that they were unable to "read" Twitter messages using this, thereby making them second class citizens all over again.
at any rate, both budgets are not infinite, and it's infuriating to hear the described as such.