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Yes but because they cannot hear themselves, to correct the mistakes they are making it comes across similar to that of someone with Downs Syndrome speaking to you. So they choose to Sign instead. yes some of us can speak but normally only if, like myself have been born hearing & gone deaf over time but some deaf people can't speak very well because we can't hear how things are pronounced, simple things like 'Beans' has the same lip pattern as 'peas' so unless you can hear it it just guess work.

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The above answers is pretty good but in fact with massive advances in speech therapy over the past couple of decades some people who are born deaf can speak pretty well, though there is always a strange flat tone and they often have great difficult in modulating their volume. They may innadvertantley shout or may whisper out of fear of shouting or embarassment at their speech abilities. Children and younger people who have benefited from improved speech therapy generally have much clearer speech than older deaf people whose attempts at speech are likely to be unintelligible.
Yes, but if they have always been deaf they may not form sounds the same way the hearing population does so their speech will sound different and sometimes is difficult to distinguish some words.

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