Most spam calls I get today are from small towns in my state. I know no one in this state outside of the region I live in, so they are obviously spam. I will answer if I'm not busy, because the only way to punish these people is to waste their time. Based on accents, these people are obviously not Appalachian, most are clearly not Americans at all. Usually claim to be from the "expired account department" and claim I have unused travel credits they can "reactivate" for a fee. AKA they are scammers selling over-priced travel.
Also get a lot of calls from the nation's largest civil rights organization, which I am a Life Member, but my one gripe with them is that they won't stop asking for money even though I'm a Life Member, and they sell their mailing lists to outfits of dubious merit (survival food, gold coin dealers, second passport agents, land in Alaska, etc.). Always from 202 and recently from its 771 overlay.