It has also come to be called "The Coast", especially by New Yorkers, or the "Left Coast," a pun based on its lefthand position on a map of the US as well as its reputation for being more socially liberal — or left wing — than the East Coast or Midwest.
The term has been taken by rap music performers when used to refer to a particular school of artists. The East Coast/West Coast dichotomy has led to violence and much rhetoric. This violence and rhetoric largely subsided by the beginning of the 21st century.