Elixir's heavy reliance on pattern matching has always made it kind of "dynamic language where you still have to think about types" vibe to it. It's also always had a spec meta-language (taken from Erlang) which a lot of people use. You should read up on how they have been implementing the type system, it's pretty interesting! I would not say it's "bolted on." It also has full inference so all codebases get the benefit of it whether you specify types or not.

Yes, it is what I found works so well. It is easy to write short, specific functions in Elixir and adding Typespecs to theses functions is like typing a block of code. Within the functions everything is "easily" understandable.

Input > Enumerable.Map(Input, type-speccd functionA) > Enumerable.Map(Input, type-speccd functionB)