I hate that the fraudsters make it so that we Can't Have Nice Things, but I also see why and if anything we need more ways to add costs (calibrated to be manageable to spend once, but costly if you get banned daily) for account creation in a lot of places.
To get a little deeper into it, Twilio (in Canada at least) doesn’t often own the NPA-NXX block either. Around where I am, the blocks are generally owned by IrisTel, who is a SIP provider in their own right. An old client of mine that had a data residency/privacy issue (their client required all of their data to be processed in Canada) ended up provisioning some numbers directly with IrisTel and doing that integration using FreeSWITCH.