To your first point: yeah, some discomfort around it is valid, but I see it as a non-issue. Informally/philosophically, because a model's job is to capture everything a first-order theory can see about your object of study - so it's fine for (say) an "actually" countable set to model the reals, and not be up to the task of "actually being" the reals. Formally, you differentiate between internal and external statements and don't expect them to be the same (a rigorous version of my pretentious use of scare quotes above :).