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As the culture becomes increasingly sexualized, writes Kathleen Naab, pornography becomes more acceptable, with statistics showing that as many as two-thirds of college-age men and half of college-age women say viewing porn is an acceptable way to express ones sexuality. The Fifty Shades of Grey blitz books, movies, even soundtracks and gift items is only the most obvious manifestation of the new porn tolerance

Based on the final score calculation under 414.1380(c), the contribution of the cost performance category score to the final score for this MIPS eligible clinician would be equal to the cost performance category score multiplied by the cost performance category weight (30 percent if the MIPS eligible clinician has not received any reweighting) and would be 18.06 out of 30 (0.602 30 = 18.06) or 60.2 out of 100