The traditional development of UNIX (my pretty little black box of joy) is losing market share in more advanced technologies and development environments.
Although there are many great web development-enabled IDEs today, such as Visual Studio, Eclipse, and Netbeans, many web developers find them unnecessary and continue to work completely in a standard text editor such as vi and emacs.
The Unix platform has a very rich selection of modern web development - Ruby on Rails, and Django - two of the most popular today. You could develop an application using one of these frameworks without using the entire IDE from the command line. Both of these structures are open source, free and work on different Unix platforms and non-unixy.
The gnome desktop has several accessibility features that can help you with your development. the mobility impairment section of the GNOME desktop accessibility guide may be most relevant to you. This will give you the best of both worlds in that you will have a very rich command line environment, but you can also run graphical applications and IDEs such as Eclipse. MacOS X can give you similar benefits.
If you find that the benefits of MS Accessibility on Windows are too great to decline, you might consider installing and exploring the use of Powershell. My understanding of Powershell is that it allows you to perform many GUI-based tasks completely from the command line (allowing you to interact with Windows in a more unix-like manner).
Bayard randel
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