The main difference is that TV dinners were designed to be heated in an oven rather than a microwave, back when microwaves were less common.
Also, not all ready meals are crap. You can buy premium frozen meals from restaurant suppliers but they aren't cheap.
One example: long ago I used to buy Bush's baked beans in a can. They had a vegetarian version which I assumed was healthier, and it even tasted better than the original. But one day I compared the labels and found the vegetarian version had more added sugar and more calories per serving.
We were fed a massive amount of misinformation about healthy foods in the 1980s. Hopefully things will improve from now on.