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Originally Posted by eschwartz
Incidentally, looking at CARA's website and Wiki article, I didn't see any indication that they are anything other than a private project by the MPAA.
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It is private. It has teeth in that in terms of film distribution any films with a rating of NC-17 or no rating have trouble getting shown in theaters. The threat of the MPPA rating a film NC-17, or of refusing to give it a rating, often pressures film makers to edit the film to what will be acceptable.