I am a totally blind college student who’s had several programming internships so my answer will be based off these. I use windows xp as my operating system and Jaws to read what appears on the screen to me in synthetic speech. For java programming I use eclipse, since it’s a fully featured IDE that is accessible.
In my experience as a general rule java programs that use SWT as the GUI toolkit are more accessible then programs that use Swing which is why I stay away from netbeans. For any .net programming I use visual studio 2005 since it was the standard version used at my internship and is very accessible using Jaws and a set of scripts that were developed to make things such as the form designer more accessible.
For C and C++ programming I use cygwin with gcc as my compiler and emacs or vim as my editor depending on what I need to do. A lot of my internship involved programming for Z/OS. I used an rlogin session through Cygwin to access the USS subsystem on the mainframe and C3270 as my 3270 emulator to access the ISPF portion of the mainframe.
I usually rely on synthetic speech but do have a Braille display. I find I usually work faster with speech but use the Braille display in situations where punctuation matters and gets complicated. Examples of this are if statements with lots of nested parenthesis’s and JCL where punctuation is incredibly important.
Update
I'm playing with Emacspeak under cygwin http://emacspeak.sourceforge.net I'm not sure if this will be usable as a programming editor since it appears to be somewhat unresponsive but I haven't looked at any of the configuration options yet.
Best Answer
.NET workflows or ones created using SharePoint designer?
I've only got latter experience and they aren't really easy to debug, you really just have to do them 1 step at a time and test up to each step.
You can view the workflow state as well in SharePoint when you go to the List Settings (sorry I don't have a WSS machine to look at currently).