An item may be on the MEL be sure being into for a flight, day ,or other period is an acceptable risk but when giving that approval the authorities always consider the " next worst failure" which most often is the second version of the " failed "item. It was judged that the pilot workload, or reduction on safety margins , when under Erops ( I'm a traditionalist) and potentially up to 3 hours or more from a laudable airfield.
As a general eules, far fewer items are on an erops aircraft rather than an Aircraft released for "normal" service, which assumes a diversion airfield within one hour. (The last MMEL I negotiated was parts of the Airbus A400M avionics, 8 ish years ago)