It tells people currently on the crossing how long they have. If they're infirm, they may be better off waiting at a traffic island than trying to rush across. The red hand is pretty clear - it means "don't start crossing", not "start crossing if you're confident you can make it in time" (though that is the way the countdown is used).
$200 is a ridiculous fine, though - that's over 20 hours work at the minimum wage.