The problem with Make text bigger and Make everything bigger is they apply to every single application that supports them. Let's say I have two applications: A is comfortable enough to see and B isn't. If I change either of these settings to help me use B, A could now be a problem because it can take up too much screen real estate, which makes it unusable for a different reason.
This doesn't sound like much of a problem until you have 5 or more applications you're trying to balance via these two settings. In reality, it's more complex than I'm describing because I may need to change both settings to help with a new application, which then means I have to continuously test every other application I use to make sure they're all somewhat comfortable enough to use.
If an application I use updates to include support for these settings, I have to go through all this unplanned work again to try and make everything usable once more. It's frustrating.
I know people make fun of Electron, but one major plus point for me is I have per application scaling when using it, and so it gives me better accessibility than Windows does by far.
> (Failing that, adding basic support for scaling text or UI via ctrl+plus/minus would be a huge improvement!)
I'd consider this to be a better option.