They don’t! It’s not sure. Basically get data and use signal or session app to call.
I have spotty internet in places where I need to make outgoing calls
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So VoIP calls aren't reliable in emergency situations
Are you looking for privacy?
Not in this case
The try out Airalo. I’ve used it in US, Mexico, UK and most of Europe
https://ref.airalo.com/SQ4p