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The Fire HD has the same accessibility features as the HDX.
Largest text size appears slightly larger than that in the Paperwhite, and the screen is slightly larger. Plus you can use TTS to read out text (with option for 'professional narration' in many cases). Triple-tap toggles the screen to magnification mode.
You can also choose a larger text size for the UI.
On the other hand Paperwhite is usable in bright light, which also results in sharper vision due to pinhole effect.
So 'both' is best!
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