This isn't a defense, just an explanation... but it is also an explanation of why the entire idea of "we'll not give blind people a way past the CAPTCHA but just give a pass to 'real' blind people so we can pass ADA", which is that it should have been transparently obvious that this approach is completely infeasible and unscalable. As big as Google, Facebook, or Amazon are, they would struggle under the load of trying to create a system for determining who is "truly" blind... and that's still true if we ignore questions like exactly what "blind" is anyhow.
This shouldn't have gotten deployed and then become a problem; it should have been a 5 minute diversion in the meeting where it was proposed to analyze it's completely infeasible and never made it to so much as the design phase, let alone the deployment phase.
If you had a system for completely accurately identifying characteristics like "who is blind" in the presence of extremely hostile attacks on the system, you'd have something far more valuable than the CAPTCHA system itself! The whole idea intrinsically depends on having a stronger solution to the problems CAPTCHAs are meant to solve than the CAPTCHA system itself provides... it's fundamentally a logically unsound idea.
In several countries, the government issues certificates of blindness [1] which grant access to certain extra types of support. We don't want severely vision-impaired people being forced to drive, after all!
So there are legal standards for what exactly blind is, and certificates.
The question is whether tech companies are inclined to hire enough people to wrangle the paperwork involved in checking such certificates, worldwide.
[1] https://www.mass.gov/info-details/benefits-for-people-who-ar...
In the USA, people are not yet required to provide identification when signing up for "free" services. There are real concerns around privacy.
A certification of blindness is exactly one of those privacy concerns, being a medical issue. You think it would be a good idea to give that private information to the criminal organizations of big tech?
Perhaps not in all cases, but it can be. This article is literally about special treatment for accessibility purposes.
It's of course debatable if this is how things should be, but that's another discussion.