At one time you knew a W6 was on the west coast, probably California. If you spotted a W1, chances were it was in New England and W4 was probably Florida. Not any more!!
Yesterday I was spotted on 10m QRP WSPR by a W7. He was on the east coast! Whereas at one time the USA prefix gave you a clue to where the person was, you now have no way of knowing.
Yet another step backwards.