That's not entirely true... E911 Phase II capable call centers (which is more or less all of them, per FCC mandate) will receive GPS coordinates from cell phone calls.
This works well for things like traffic accidents, where the caller may not know exactly where they are, but if you know the rough location, they're pretty easy to find (just look for the smashed up cars...).
It is a _lot_ less useful for a caller inside a house. We occasionally get dispatched to a geolocated address when a baby-sitter or some other visitor who doesn't know the house number calls from their cell phone. Unfortunately, even with the best accuracy available, it's still anybody's guess which house they are actually in (even in a suburban area, there can be several residences within the geolocation radius).
If they can get outside to flag us down, great. If not, it's a lot of knocking on doors until you find the right place...