After I typed the reply in the other thread I discovered that somewhere there is scientific evidence for doing large water changes, but the person who said this didn't give links to any papers. Like Matt, I have found that my fish seem to be healthier with larger water changes.
We do need to remember that it isn't just about keeping nitrate below 20 ppm. In planted tanks, the plants will keep nitrate low so just going by nitrate alone, it would appear that water changes arn't necessary. But nitrate is not the only thing that builds up in a tank. I use to work in a hospital lab and we tested urine for many things. Fish will also excrete similar, if not the same, things as we do - and all the things in urine that we didn't test for. Fish communicate by chemical signals, and these too build up in the water. There are pathogens in all tanks, and water changes combined with cleaning the substrate will remove a lot of these. Minerals in tap water get used up, and water changes replenish these.
I have slow growing plants, with the exception of water sprite as a floating plants. These plants do not need much fertiliser; they get enough nitrogen from the ammonia made by the fish and decaying waste, they get enough phosphorus and potassium from fish food, they get enough CO2 from decaying matter in the tank (fish poo, uneaten food etc). All I use is a trace mineral fertiliser at half dose - I have soft water so my tap water has few minerals.