Clicking every single ad is bound to get you so many tracking cookies and give up so much metadata about your browsing that you're working against your own privacy by using it (see also "cookieless fingerprinting": https://news.ycombinator.com/item?id=13644139).
Not to mention that it's actively disruptive to the websites you visit (which presumably you like since you are visiting them) by generating so many extraneous and unnecessary network requests. You will slow down your browsing and get your favorite websites banned from the ad networks they use (see: https://news.ycombinator.com/item?id=13644226).
If you don't like ads, just block them. This plugin is a silly pipedream thought up by lawyers and artists without any relevant consultation from technologists or ad industry experts. It's harmful to everyone that uses it.
Btw, if you're using this plugin on Firefox, enjoy the exploits that your browser downloads and runs in the background by clicking every ad! :-D