There's also a PEP to make them first-class: https://peps.python.org/pep-0638/
Syntactic macros are still second-class, like Lisp macros, but an improvement over text-replacement style macros.
For something macro-like which is first-class, there are fexprs[2] and operatives (from Kernel[3]) - these receive their operands verbatim, like macros, so they don't require quotation if we want to suppress evaluation. fexprs/Operatives can be passed around like any other value at runtime.
[1]:https://en.wikipedia.org/wiki/First-class_citizen
Thank you for the clarification and the additional information, I think having macros as first-class objects is a cool (but separate) idea.