Fibre to the house and calling over wifi is the most typical way. Hasn’t the US moved to wifi calling? It’s such a simple win, as screaming packets to a distant 5g tower eats much more battery than talking to nearby wifi
Yes, most cellular carriers have wifi calling enabled. However, my in laws have some cellular device that provides a POTS jack they plug a phone into and it’s powered from the wall. That’s is always talking to cellular network.