Accessibility settings in MacOS, iOS and iPadOS have become a dumping ground for settings that have nothing to do with physical accessibility. Clearly, Apple is trying to score political points by moving settings from application/hardware preferences and burying them in Accessibility, in order to inflate the number of available settings. Apple wants to say "Look at us, we have this Accessibility thing with all these settings" when many of those settings should be located in more appropriate places.
Moving settings from the application/hardware preferences and burying them in Accessibility is not helpful at all. It just causes more irritation because people now have to look in two places to find things: the application/hardware preferences and Accessibility. Accessibility has become as convoluted as iTunes and this helps no one.