All of my incoming calls go to my VOIP provider, which in turn routes to my cellphone if someone has my 'extension'. Anyone who doesn't, has their message go to voicemail, which is transcribed to email (and the audio file attached). Prior to transcription audio plays telling the caller to enter a specific code, to leave a voicemail. Turns out this eliminates 100% of fake foreigners, and locals. They can't be arsed.
I ignore SMS. I receive nothing of value other than registered numbers (as in, a registration with the state) so I actively block them and add on an as needed basis.
My spam has reduced to zero.