Well, from what I can tell, older people are targeted at far high rate. Age seems to be a valued input to the process. I can guess a number of reasons for that.
But it's the same as spam... getting one victim out of a hundred thousand is probably enough to make it pay off.
Just about all the others get to go to voicemail and I’ll read the vm messages at my leisure as my phone transcribes them for me.
Best thing they ever did was cancel their (at least) 50 year old phone number.