There's an incoming audio channel and some metadata [caller id]. You have no idea whether the metadata [email recv from] is spoofed. All you know _really_ know for sure is the carrier you're receiving the call from [sort like an IP address] and whether or not you "trust" them not to lie about the authenticity of the metadata.
If the FCC wants to tackle this problem, as another HN user said, we really just need the equivalent of DKIM and SPF signing of the call metadata.
Despite the TCPA Act outlawing the calling of cellphones... robo callers in the USA rotate phone numbers very quickly, so as to prevent anyone from figuring out who and when placed a call.