I'm of the belief, from many instances with individual reefkeepers, that (in general) tanks are much healthy... well lets clarify that a bit... SPS and clam tanks are much healthier with regular water changes. All corals produce toxins of some sort, many to prevent competition in a localized environment... those toxins in some cases mean little as they break down quickly, in some cases they don't. A really good skimmer helps alot, but water changes do even more. Water changes, a good skimmer, and using activated carbon, I believe are key to a healthy reef tank. Unless you are trying to grow goniopora and other lagoonal species, in which case you need non-toxic, higher organic water.
Wade