Presidential Medal of Freedom

The Presidential Medal of Freedom is the joint-highest civilian award of the United States, alongside the Congressional Gold Medal. It is an award bestowed by decision of the president of the United States to "any person recommended to the President for award of the Medal or any person selected by the President upon his own initiative", and was created to recognize people who have made "an especially meritorious contribution to the security or national interests of the United States, or world peace, or cultural or other significant public or private endeavors." The award is not limited to U.S. citizens, and, while it is a civilian award, it can also be awarded to military personnel and worn on the uniform. It was established in 1963 by President John F. Kennedy, superseding the Medal of Freedom that was established by President Harry S. Truman in 1945 to honor civilian service. Occasionally, the medal award is further denoted as "with distinction." There are no specific criteria for receiving the award with distinction; Executive Order 11085 simply specifies that the award should come in two degrees, and hence any decision to award the higher degree is entirely at the discretion of the president.