That's a good point, but one I'm not sure is right or wrong. Never thought about it, but will see if anyone else has and figured it out. My impression was that the high-flow wasn't just about total volume of the opening, but shape and "quality" of flow with it's different shape. Sort of increases flow without losing too much pressure maybe? Maybe not...
Sort of like the difference between a Dyson and a Hoover.;D (Can't say that's true either of course, but it sounded funny in the moment%)

)
I've used them for many years with great luck. However, since I've never really had an overheating issue to begin with, I can't say they "cured" what wasn't really there in the first place.
I do know that my coolant flows like gangbusters with my Flowkooler and Robertshaw/Johnson Controls thermostat. Unfortunately I all went old-school hot roddy on it and bought the 160° version thinking (at the time) that cooler was better.
Didn't have it cause any real issues, but never had a good heater after that either!
Have a 195° version I found somewhere waiting to go in.
But as ntsqd and others were basically saying, a good quality stock one should be sufficient for normal use too.
Of course, that begs the question, why does a company like STANT make so many different types for our engine? Is one "better" than another? Or does it just fit a certain set of conditions better than another?
I used to work closely with STANT and could never find anyone willing to sit down and talk tech about it. I'm sure that person existed, I just was never lucky enough to catch them.
I'm going to continue to use the full-flow versions as long as I can, because they work and I like the concept. But as I said, I can't say anything really bad about standard types either.
Paul