PA Culture in West Coast vs East Coast vs Midwest?

I’m currently a PA practicing on the west coast and the culture of the PA profession feels so different compared to other areas of the country. In my short career as a surgery PA, I’ve felt that physicians don’t really understand the role of PAs and treat us like their assistants (writing and signing their notes for example).

For context, I went to school in the Midwest and it felt like PAs were well integrated and more respected as medical providers by physician colleagues. I hear the East Coast is similar as well. Can anyone who has worked in different regions of the US as a PA speak on this?