The problem is that if you use a tandem/starter combination, you can only have 3 starters followed by your tandem set (SP1, SP2, SP3 and T4A/B). Given that a Tandem 5A/B does not exist, it is impossible to set a 4 plus Tandem rotation except by rotating a pitcher in and out of your rotation every few games (highly annoying). Therefore, unless you want to deal with the headache of moving pitchers in and out, tandem simply isnt worth the bother. WIS has a few times said they would add Tandem 5A/B, but never came through.