Did you go to Sight Village? I'm afraid that the current situation is a hundred times better than it used to be, even 10 years ago. Because the NHS and local government have historically dominated purchasing, we weren't getting the shiny stuff they had in the US. Of course a large single market also made it easier for small companies to trade. Whereas export is harder.
I went to one about five years ago, with the idea of starting an Internet business in this area. To try and get some of the American goodies over here. As well as to try and create an online community to talk about and review shiny tech. But a lot of that stuff had already got over here. Also, there's a lot of technology that can be repurposed to do the job. You can also pick up cheap magnifiers, binoculars, monoculars and the like. Stuff that simply wasn't affordable 10-20 years ago.
To be fair to these companies, hardware production is still relatively expensive in small runs. It's a small market. And a lot of purchasing decisions are still being made by cautious bureaucrats. None of the kit that I get from the NHS is even vaguely close to the cutting edge of what's available. And they're still buying very expensive products from the same suppliers they always used. Even though there are now much cheaper options available. Probably because the people making the decisions haven't looked at what's available in the market since they trained.
A chap in my office building was referred to a local resource centre with his wife, looking for stuff to help with her macular degeneration. I don't think any of the kit there was newer than 10 years old. Except some of the little portable CCTV's. Which are still better than trying to do the same job with a mobile phone camera. And now cost peanuts. However, all she needed to help with her reading was A4 Kindle, and help with setup. Sadly, the local library service, use Adobe Digital editions. Which is an utter pile of useless shit. It can't even enlarge text it's so primitive. It's also unable to authorise a better piece of software access content on the same device. So you'd have to authorise another laptop, in order to be able to use better software to read the content you downloaded to the first laptop. Or you just use available tools to crack the encryption. But that ended up being too much hassle, and so she stuck with the limited range of available large print books, and put up with the arthritis pain that manhandling these huge tomes causes. I guess it's still better than large print, where the Lord of the Rings runs to 13 volumes of 18 inch square and an inch thick.