Do you really need a middle name?

Is it just me, or is everyone really into 2 names more so now than a few decades ago?
I mean I dont call anyone by their first and middle name. You just call them by their first name usually. And even when you introduce yourself to anyone you'd introduce only your first and last name. 
So how important is it to have a middle name? It seems like people are so hung up on having their kids with 2 names.

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