I believe it is the case that none of these proposed changes would have any effect on Aqua (native, non-X11) OS X Tk variants (Cocoa or Carbon).  Unlike on Windows and X11, standard OS X menus in conforming GUI apps do not have underline letter shortcuts.  (OS X provides an application-independent way to navigate menu hierarchies in all apps using the keyboard; the link below has more details.)  OS X apps, of course, do have modifier key accelerators but, in almost all cases, the actual key combinations are different from those on other platforms, as defined in the default sets in config-keys.def.

Mark Roseman's TkDocs web site tutorial (and book) has a good overview of Tk menus and the most significant platform differences.

http://www.tkdocs.com/tutorial/menus.html

https://developer.apple.com/library/mac/documentation/Accessibility/Conceptual/AccessibilityMacOSX/OSXAXKeyboardShortcuts/OSXAXKeyboardShortcuts.html