The final answer talking to the head of tech of a large post house down the block) is: Yes and No
Yes a PC card will run at full speed in OSX, but on the PC side (in Bootcamp) it will still act like a PCI 1.0 connection even in a 16X slot. In an older 2008 Mac Pro, a PC card will run in 1.0 mode under both OSs (not confirmed, as they have no more 2008s to check – but probably/rumor has it)
MacVidcards flashed cards also ensure that power draw is never dangerous, and that heat is reasonable for a Pro enclosure, which is more of a long term issue than short (he said they’ve had Pro burn-outs longer term with PC cards, and none with MacVidCards, but they may have really pushed the power thing too far – hard to say). Mac Vid Cards does limit power usage inside the card for cards certified to work without a PSU. Apparently, also, stability is just a bit better.
For me, I think it’s better to have peace of mind than risk my expensive tower, and I use the PC side a lot wfor Pc-only software, so an extra $200 was not a very big issue. I tend to like the “cry-once” buying philosophy whenever possible, but that’s just me.