Cancer. You won't talk to a human being anymore, and everyone will block numbers not in contacts.
Already been doing that for a solid 20+ years now, ever since PocketPC/Windows Mobile first introduced the feature. But OpenAI getting SIP support is not some great new existential threat... we've had similar APIs for years with services like Twilio.
I've had this configured for a while now due to my number being leaked all over the place and getting 4-8 spam calls a day :/