Spoofed numbers
Spoofing phone numbers of government agencies and health-care providers should be a felony -- just as much as impersonating a policeman is. And civil damages should be at least $25,000 per violating call.
The present civil penalties scheme under the US Do Not Call Act is grossly inadequate (the civil penalty is $500 if no aggregating factors are present, $1500 if any or all aggravating factors are present): the whole scheme needs to be adjusted for inflation since 1990, and then additional penalties for multiple aggravating factors for a call should be additive. Use of any spoofed number should be a severe aggravation -- say $5,000 -- with $25,000 for government/health-provider spoofing.