As the other person mentioned, it matters to an extent because the admins of your instance have the ability to cut ties with other instances (defederation). They also have the ability to make instance wide actions like banning a community belonging to that instance (in the same way Reddit admins can ban a subreddit).
Some instances will naturally be stricter about what types of communities are allowed and what types of instances they will federate with. For that reason, it's important the instance you join aligns with your values, e.g. you probably don't want to join an instance that tolerates alt right communities.
I think it's meant to appeal to the US who I believe still use SMS a lot. If you're still using SMS, I guess having it switch over to RCS is a bonus.
If you usually use WhatsApp, having a message go through as an SMS is a PITA.