The real trick, as Jim says, is to set the Dragon Options so they work with screen readers. Dragon itself has some helpful suggestions; however, the J-SAY recommended settings for Dragon work best -- if you can get them. They may be available on the Web. I used to be a J-SAY user, which is how I happened to have the settings. J-SAY will read back each word you say. Native Dragon won't unless you ask Window-Eyes to read it. Actually, I kind of like not hearing every word. I go back, using Kevin's proof-reading script, with homonyms turned on (something not available, to my knowledge, in J-SAY), and when something sounds wrong, highlight the word or phrase, say "Correct That," and you have a dialog box. Either type in the correct word or arrow through a list and hit enter on the correction. Honestly, the only thing I really miss from J-SAY are (1) the way it messed up JAWS and (2) the automatic, continuous reading of speech.
You can even do the training, using the mouse reading commands.
I use Dragon Pro, and I'm pretty sure it wouldn't take much for someone to create a WE-SAY for Dragon -- if there really is a need.

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