You are confusing TANDEMS WITH THINS..
Ge makes Thins: THQP 115, 120, 130, then some 2 pole THINS THQP220, 230, 240, 250, etc.
Tandems are those such as ITE Siemens and Square D make.. Q1515, Q2020, etc. QO1515, QO2020, etc Those are TANDEM single pole breakers.. Not 2 poles. They are actually 2 single pole breakers.
Just as I said above, all panels will not accept them. Typically you get a panel such as a Siemens G3040MB1200. The first number represents the number of full 1" spaces. (30) the second number represents the total number of circuits the panel is capable of accepting (40). That means that panel will accept 20 thicks, and 10 tandems (20 circuits) for a total of 40 circuits. A G4040MB1200 will not accept any thins. It will only accept 40- 1" thick breakers. Be they single pole, 2 poles, or a combination thereof.
In a home at or near the 2000 sq ft mark, we will typically sell either 2- 4040 panels or 1- 4040 panel and 1- 3040 panel. They'll use the larger of the 2 for real loads such as AC, oven, dryer, and some convenience outlets. Then the other panel for all other lighting and receptacle loads such as bathrooms, bedrooms, etc..
As with anything man made, anything is subject to failure at any time.. However, in 20 years of selling all brands, GE, Siemens, Cutler Hammer, Square D (now), I have not seen a handful total of these thin breakers that "went bad"...