Today there's lots of old code from the era before automated tests were widespread in the industry, and often automated tests which were previously maintained by the testers are now bitrotting. The culture of testing is not strong among developers in some parts of the company. The beta program can't catch everything either.
So telemetry it is.
And you need some telemetry. Minidumps/coredumps make debugging certain kinds of crashes much easier, and Apple captures that sort of data too. And I guess seeing whether people use some widget in Office a lot/not at all could be useful for improving the product. In practice it also leads to issues with the GDPR and governments, which MS does ultimately fix.
Apparently Win10 Enterprise users have a switch somewhere where they can turn off almost all telemetry, but not so for Home and Pro users, say what you will about that.