Re: ubuntu mate, orca, and skype
For desktops...
Try the Zorin distro, it has its own desktop that is a more easy to use Gnome. Gnome itself, at least for me, works fine on my laptop, I know people have bitched about it not being accssible but at least on the version I have I ain't run into too many issues, though YMMV, and Orca is built into the Gnome stak so there's that whole thing.
Honestly web skype's quite probably your only option though.
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