Is it possible to use *only* voice control - no keyboard or mouse at all?

Short story, hope you can bear with me.
I have a client who was using Windows for years. He has some disability that means he really can't use a mouse or keyboard. He has been using Dragon Naturall Speaking for about 5-7 years *on Windows*. He also has a Wacom tablet, but uses it sparingly.
About 6 months ago, he was having problems and was fed up with the problems he was having on his Windows machine. He called me and said "That's it. I'm going to Mac." He bought an iMac the next day, about two weeks before Lion was released. He had also purchased Dragon Dictate for Mac.
I set it all up, installed it and he was ready to start training Dragon.
A few months later, he calls and says, "I need to install Windows on my Mac because the Dragon Dictate for Mac is useless. I've spoken to them and they admit that there are several things you just can't do. Like moving the mouse." I think he means things like dragging an item into another folder, or drawing a box around several items on the desktop in order to trash them or copy them or drag them into an email as an attachment, etc. I keep asking him to be more specific, but all I can really get is that It. Can't. Be. Done. On. A. Mac.
And that, of course, really makes my skin crawl. I mean, come on, it's a Mac. They have *great* features for Accessibility. Surely, this must be a solved problem.
But, I have looked. I looked at the additions in Lion. I looked at the literature for Dragon. I have tried to do it myself on my computer. So far, I'm stumped.
I understand that there might be a learning curve, such as learning to say *where* you want something to be dragged to, instead of actually dragging it there visually. "Move selected document to Documents" and so on. But, I'm still hard pressed to find a way to do *every*thing (or a 99+%) using only voice control.
Does *any*one have any ideas, suggestions, thoughts, solutions?
His solution? He bought a used Windows computer today. I've copied (again) all his data from his iMac back to the Windows PC and installed Dragon Naturally Speaking, etc.
Surely, this can't be the only solution. There *must* be a way to do this on the Mac. Right?
Thanks.

Hi again,
I checked the Bios of my neighbors A100, so he has no option for Wake-on-Keyboard, too. I think its not implemented in that bios.
If this helps you: try the latest bios for that machine, maybe the implemented that option in a newer version.
Greets man

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