So you are telling me I can now directly render from WASM into the viewport of the browser with a11y? Nope, then it’s still restricted to interacting with the DOM through JS or or renderings to a cavas with no a11y support or significantly worse dx for a11y because you would need to render a screen reader only document layout ontop of your actual UI, instead of just handing the browser an interaction tree and allowing it to do what is needed for screen readers.
You can write Wasm bindings to the native UI toolkit of your choice and render with that. It doesn’t have to be in the DOM.