What am I missing here?
Just that the US meaning of the term differs from what you are probably used to. Not to derail the thread any further, but in FAA parlance, MSA is not a procedural altitude. It is merely an altitude which should keep you out of the weeds if you are off the procedural track and within 25 nm of the NAVAID depicted.
From FAR 97.3
MSA means minimum safe altitude, expressed in feet above mean sea level, depicted on an approach chart that provides at least 1,000 feet of obstacle clearance for emergency use within a certain distance from the specified navigation facility or fix.