I used Voice Commander briefly (while I still had 2 functional systems) and it was a decent system once you got it all programmed and such.

If there is a looting macro/script laying around (not certain haven't really looked it up) you could put that into an action slot and use it just like anything else.

The thing about Voice Commander, lol, you need to make sure that you mute your mic if you're going to be talking to someone. I had one of my characters aggro an entire group once because i was talking to my brother and the mic picked up something that sounded like an attack command.

Voice Commander is nice if you're only using 2 accounts and have the patience to set up every command that you're going to use.