Because in iPad the High refresh rate kicks in ONLY when you scroll or motion picture(video, game, etc). Otherwise it Immediately throttles to 30Hz, to save power.
For MBP the problem is not the refresh rate, but when you do anything performance related. 80W of Power from PSU are consumed just by GPU, and CPU. There are 7W left for Mobo, RAM, SSD, display, battery, etc. All of current 144/120Hz displays consume between 20 and 40W alone. There is not enough power in the PSU for Apple to use it for for example gaming, etc.
You could only use while scrolling through web pages, or watching a movie(which would be pointless because most movies are 24 or 48 Hz, anyway).