I think much of the "modern confusion" around assembly code comes from being mainly exposed to raw disassembled compiler output instead of "sane" assembly code written by humans.
Back when writing assembly code was more or less mainstream, "high-level" macro assemblers were used to wrap assembly snippets into fairly advanced macros which could lead to assembly code that was nearly on the same abstraction level as C code, you could define structs, named constants, write complex constant expressions and so on..
There were also dedicated assembly IDEs like ASM-ONE on the Amiga or Turbo Assembler on the PC, which made assembly programming quite comfortable (I guess the same can be achieved today with relatively little effort by writing a VSCode plugin).
Back when writing assembly code was more or less mainstream, "high-level" macro assemblers were used to wrap assembly snippets into fairly advanced macros which could lead to assembly code that was nearly on the same abstraction level as C code, you could define structs, named constants, write complex constant expressions and so on..
There were also dedicated assembly IDEs like ASM-ONE on the Amiga or Turbo Assembler on the PC, which made assembly programming quite comfortable (I guess the same can be achieved today with relatively little effort by writing a VSCode plugin).