All that was very real and yet, by its very nature, applied only to some people and it was possible - indeed, mandatory - to not think about it in daily life. The overall effect was a sort of adequately comfortable open prison, while a lot of people saw improvements in their material condition over their lives. As in China.
It also had a certain structure to the misery, which is now replaced by arbitrary brutality both from the state and organized crime.
It is a documented fact that Russian life expectancy dropped immediately after the fall of the USSR. https://link.springer.com/article/10.1057/s41294-021-00169-w ; "Male life expectancy at birth in Russia fell by six years between 1991 and 1994, from an already-low 63.4 years to 57.4 years over that period, an almost unprecedented decrease in life expectancy in three years"
They have a chart on which you can see how the recovery corresponds roughly to how successfully post-Soviet states managed to "westernize". Estonia did well. Ukraine has only just recovered to Soviet levels.
In summary: western life expectancy good, Soviet life expectancy adequate, third state of collapse autocracy/anarchy in the middle very bad.