1. It's the most scalable way for them to generate revenue without shoving ads down your throat.
2. Skimlinks doesn't "modify" your links, they simply put it through a redirect to see if it affiliates. The link you've submitted to Pinterest will likely stay as is.
3. If users submit affiliate links already, then services like Viglink/Skimlinks don't overwrite your cookie (i.e. Reaffiliate it) so those users will continue to see revenue.