"Eight-in-ten Americans say they don’t generally answer their cellphone when an unknown number calls" https://www.pewresearch.org/short-reads/2020/12/14/most-amer...
And that study is from 3 years ago, it's surely a higher percentage now than it was then.
I don’t know why this is the hill you’ve chosen to die on
1. For non-emergencies, just use social media or email, which have better anti-spam filtration.
2. For most true emergencies, "hang up and call 911" just like every doctor's office recording says.
3. For urgent non-emergencies, either accept the consequences of waiting until your can reach the person via option #1 above, or get creative. Contact friends of the person and ask if they can get ahold of them... or someone IRL near them to get their real-world attention.
4. Consider what happens if you lose or break your phone. Responsible people let a reasonable group of people know how to reach them, and the rest contact a member of that group.
You live in a tiny bubble if you honestly believe that.