Comment by SeasonalEnnui

I agree, and the lack of empathy around this area is sad. If you're developing an app, it is better to fall into the pit of success by using a UI framework that already has accessibility baked in. Any project that uses Dear Imgui for end-user applications has already made a bad design choice. AccessKit (https://accesskit.dev/) seems to be a positive step forward, with some UI frameworks implemented (including immediate mode egui).