So it’s possible to show a local number when the call is arriving from another part of the world? That seems strange or rather insane, but would explain how the problem happens ;)
I don't know if easily spoofable phone numbers are unique to the US. But even if they are not, international scam-calling operations are going to predominantly target English speakers since English offers lower language-understanding barriers and a lot of high income potential victims.
A huge amount of international phone traffic comes to the US every day