If they wanted to stop spam they'd fix it so that carriers were required to ensure the numbers aren't spoofed. This would stop spam overnight.
"i dont have a phone"
"emergency contact?"
"911, no one else is better suited to respond to an emergency?"
For example, every hospital and office I've been to asks for my Social Security Number, yet none have said anything when I leave it blank.
(I can see for if you die / etc but still)
So much for HIPAA huh?
Get yourself locked up in the slammer for a night while carrying a fresh burner; observe them writing down your IMEI and IMSI; see if that makes you start getting robocalls.
It was documented years ago that lawyers were buying cell phone location data from the carriers in order to drum up potential clients in hospitals.
Blame the data industry and big tech.
As a population we used to be a lot less concerned with privacy. It was nicer in a way. It was a time when you didn't really worry about your identity getting leaked or stolen. If someone knew you were in the hospital, they might send you flowers or a card.
Yes they are:
https://www.ecfr.gov/current/title-45/part-164/section-164.5...