Often an emergency landing closes the airport anyhow even if there are multiple runways. You don't want airplanes mixing it up with responding emergency vehicles.One more thing I just noticed, MDT has a single runway. You land your damaged plane there and can't clear the runway, you've just closed that airport for a while.
I remember a United jet with an APU fire that pretty much closed IAD when I was trying to get back in there. I couldn't figure out why they had me fly halfway to RIC before turning me back to the airport. It was only bad that some ass-hat United captain made a big stink about him being delayed. Probably had to eat a bit of crow when he realized it was a company plane that was holding things up (when I came it it was still parked in the deice area at the confluence of 1L (now 1C) and 30.