One could do a pretty good job of it too. AIS data contains position, heading, and speed. So it's everything you need to interpolate movement between data updates.
Is rendering ships on approximately real world courses more rendering work than rendering them on pseudorandomly selected courses? I don't think anyone is suggesting the game ramps up the density settings or pulls in high res models for them
Yes, real-time aircraft are in the latest MSFS based on their real-world movements, with correct callsigns and flight numbers, if you turn the option on for real-world traffic.
The new MS Flight Simulator uses Bing Maps imagery so I originally thought the satellite map happened to include the ship and thus the game would've had it as well, at least in "flat" form as a terrain texture.