First of all this reactor is very old. Second there is a cost evaluation associated with backups for backups for backups etc. You can't make a completely impervious system, and getting close is immensely expensive.
Third this was a giant event, 9.0 and higher quakes occur about once every 20 years.
And finally there are some events that you simply cannot prepare for. If some group decide to use a 15 kiloton weapon on an American city, ANY American city, there would be no way to treat everyone that needs medical treatment.
Keep in mind that's a 15 kiloton weapon, the same as what his Hiroshima. There are weapons over 1000 times that power out there, in great numbers.
And to be honest, a 9.0 quake with a 33ft wall of water terrorizes an island nation, and the death toll will probably stay under 10,000? That is amazing preparation and response.
The 1976 Tangshan earthquake of somewhere in the 8.2 range (around 1/10th the power of this bad boy) killed over a quarter of a million people. And a 33ft wave smashing into a 40 year old reactor, wiping out all systems, and still the radiation leak so far is less that .5SV per hour at worse?
Amazing.