Nope. Unlike that one weird app you installed back in 2012, this library doesn’t track you, steal your data, or sell your info. It just sits there, being useful, like a loyal background dog.
Microsoft packages it because everyone needs the same foundation. Without it, every developer would have to pack their own copy of the exact same code into their software, making your hard drive cry.
Fun comparison time!
Think of your computer as a fancy restaurant kitchen. The operating system is the stove and fridge. The Visual C++ Redistributable is the basic set of pots, pans, and knives every chef needs.
If a chef (your software) brings a recipe that expects a specific whisk, but you don't have it, dinner is ruined. The 2019 version is that modern non-stick pan every chef wishes for – it makes everything less sticky and faster to clean up.