I think the people who run the site would be happy to assist a person experiencing difficulties with both spambot prevention schemes. Obviously, I'm not speaking for all the sites in the world, and not for LiveJournal in particular, though I happen to know something of that community. The number of people who are both deaf and blind is small, which doesn't mean they should be ignored (I don't know what made you think that was ever my opinion), but does mean they can get personal help. In the case of LJ, this step is not required for viewing a web page, but for joining the service.