Indeed I am! But I don't let all that fame go to my head (I have a special deal for autographs right now, just $20!)
But seriously, while I consider lackluster (or completely missing) new-account verification to be the much larger issue, federation is one to watch as well. My instance is so-named because I'm the only one who uses it.
At least it's a fairly significant effort to set up an entire instance for a single user. That should keep spam from single-user instances reasonably low. And if someone sets up a vaguely legitimate-looking instance, but enough users are muted/blocked/moderated/etc, you can just block the entire instance. Changing instance names is more of a hassle than nuking it entirely and starting over (new domain, new database, new IPs if the admins are paying attention, etc).