Unless you simply don't trust Apple's security promises (in which case why are you using Apple devices), iCloud backup is now E2EE encrypted [1]. A bit of wringing to turn it on, but totally worthwhile.
There are differences between iCloud and local backup. For example, iCloud backup doesn’t backup your Notes or Health data but local backup can. Sync != backup — without a backup, if you sync a bad change you’ve lost the data.
Both of these are stored in iCloud (if you enable) and are backed up in the cloud (and E2EE). All other large repositories of data are not sourced from my Apple devices
I think they do, but my guess is that most people don't keep their phones long enough for that to be the reason to stop using the phone. Usually the phones get damaged/lost/too slow to run modern apps etc.