Even worse, the Emoji descriptions (on some platforms) don't correspond at all to what the emoji actually represents.

For example, the " " emoji, described by Unicode as "health worker" is called "non-binary doctor" by Apple.

If you send that emoji in a text to somebody, and they're e.g. using accessibility software, wearing AirPods and have notifications read out to them by Siri, or have their phone integrated with CarPlay etc, the message they'll hear is very different from what you actually intended to say.