Currently, “bold” and “italic” markup doesn’t actually output bold and italic text (semantically); instead, it outputs strongly emphasized (<strong>) and emphasized (<em>) text. This is completely wrong and semantic markup abuse, since we can’t guarantee that bold text will only be used for strong importance or that italic text will only be used for emphasis. HTML output for this markup should be changed to general-purpose elements (i.e. *%text%* (_%text%_) should be <i>%text%</i>, not <em>%text%</em>, and **%text%** (__%text%__) should be <b>%text%</b>, not <strong>%text%</strong>).


Accessibility is about providing equivalent experiences. Presentation absolutely matters because bold, italics, etc. are used to indicate context. Markup exists to indicate context, not the other way around.
How familiar are you with ADA 508 and the latest WCAG standards?