Final amps of modern transmitters are low-Z (as seen after the matching network). On really modern ones they are essentially fast switches. If the fiaal amp had a transformed Z of 50ohm and the antenna had the same you'd see a whole lot of dissipation. Modern transmitters can get pretty close to 90%.
Impedance matching is usually only done in installations like a CATV distribution because they have to assume that the far end is rarely terminated with the proper 75ohms. Usually done via a series resistor. Do that in a 100kW AM transmitter ... phsssst ... BANG.