Paid for the Voice Attack program, now I guess I need to figure out how to make it work for me. Mainly ".ef", autopilot, autoclimb, etc commands.
I just tried it offline (the Oculus), and heck yeah, it's amazing the things that I can suddenly "do".
#1 was my offline gunnery. Not Marseille by a long shot, but I found it a lot easier to make my rounds count, even tho the offline drones aren't maneuvering. Being away from the
game for a year and a half, I am taking even small improvements. 
Anyone got tips on getting Voice Attack setup efficiently and quickly?
setting up a profile in Voice Attack is pretty easy. I have only 16 commands at this point. Open VA, set the target to aces high III (dx11), click the box at the top with the pencil to edit the default "My profile". When the window opens, click "New command", when the next window opens in the top box it says "when I say" type in engine, to the left of the large box in the center click "key press" then hit the "E" key. At the bottom click "ok" and on the bottom of the next window click "apply".
Congrats, you have made your first command. With the VA running when you say "engine" your engine with either start or stop depending on which state it is in when you say the command. I have only messed around with it a bit, but with the options or "repeat key pushes, delays and any number of key pushes Im sure a lot of things are doable. I have an "icon" command. When I say ICON it presses the ALT + I keys three time, pauses for one second then hit alt + I once more. So when I use it it cycles through the icon modes, pauses at "plane icon" then moves back to friendlies. So I can see what planes the friendlies are flying around me and then it switches back to their names.
I use it to jump to the bomb site, calibrate, return to the pilots seat open doors, or any of the guns in the B24 (some bombers have different numbers for the guns) I use it to go to F3 mode while in a buff, or tower, I have a "return salute call" that returns a salute.
I think any key combinations you could do in the game you can setup with VA. Im sure some canned texts could be lais in as well. Typing on the virtual keyboard is slow but can be done. "How are you?" "long time no see!", Nice fight!" should be easy to set up and save you time typing.
Your imagination is the only limit I can find so far. If you can figure out what you "need" for key presses, this program can do it.