STIR/SHAKEN has an exception for calls passing through TDM trunks, which don't support it. This created a small industry for passing spam calls through TDM trunks. Such calls can trivially have their caller ID spoofed.
Phone companies used to be monopolies, in Europe they were owned by the government as a public service. But when they become profitable politicians betrayed their citizens and sold them. Nowadays, phone companies are a source of scams, spam and everything wrong with big corporations. And all that profits are now private instead of helping to fund the country.
Much the same as e-mail, identity within the phone system was, historically, entirely built on trust (because only Ma Bell could make configuration changes, and they could verify that what their customer was asking them to do was legit). Those assumptions were carried through deregulation, and are very deeply entrenched in the technical design of the network. Changing them will hopefully become easier over the next few years as analogue service is turned off entirely (e.g., BT/OR in the UK are set to turn off all analogue phone service by the end of January 2027).
And there's a lot of telemarketing and scams happening across country lines.
I mean, they should still do it. It's just the first problem they'd face.