On the VisualEditor form for <gallery> elements there is a checkbox labeled with system message visualeditor-dialog-media-alttext-checkbox. It is checked by default, so most people who add images to a gallery with VisualEditor will use it.
Using the caption as alternative text is questionable, as they serve different semantic purposes. A screenreader will also wind up repeating itself when this is done, which is probably quite annoying.
Per PerfektesChaos, dewiki is going to be removing all gallery alt attributes where they duplicate the caption.
It may make sense to remove this checkbox entirely, and bring the gallery-image dialog closer in line with the regular media dialog.