Cost per action/sale methods require that referred visitors do more than visit the advertiser's website before the affiliate receives a commission. The advertiser must convert that visitor first. It is in the best interest of the affiliate to send the most closely targeted traffic to the advertiser as possible to increase the chance of a conversion. The risk and loss are shared between the affiliate and the advertiser.
If I have a blog that is getting 100,000 page views a month that means that I’m probably getting at least 50,000 people to the site (most blogs will do between 1.2 to 1.4 pages per session). That means I have to try and get some small percentage of those people to buy something from me if I really want to do well. If I can’t get them to buy something then (in some cases) I have ads running on the site that will make me money anyways.