The Medal of Honor (MOH) is the highest military decoration of the United States Armed Forces and is awarded to recognize American soldiers, sailors, marines, airmen, guardians, and coast guardsmen who have distinguished themselves by acts of valor. There are three distinct variants of the medal: one for the Department of the Army, awarded to soldiers; one for branches of the Department of the Navy, awarded to sailors, marines, and coast guardsmen; and one for military branches of the Department of the Air Force, awarded to airmen and guardians.

There are two distinct protocols for recommending and adjudicating the Medal of Honor. The first and most common is recommendation within three years and approval within five years through the chain of command of the service member. The second method, which normally applies outside of the statute of limitations, is when a recommendation is referred to a military service by a member of the U.S. Congress, generally at the request of a constituent under 10 U.S.C. 1130. In both cases, if the proposal is outside the time limits for the recommendation, approval to waive the time limit requires a special Act of Congress. The Medal of Honor is presented by the President on behalf of, and in the name of, the Congress. Since 1980, nearly all Medal of Honor recipients"or in the case of posthumous awards, the next of kin"have been personally decorated by the president. Since 1941, more than half of the Medals of Honor have been awarded posthumously.

Six U.S. Army soldiers who hijacked a Confederate locomotive named The General in 1862 were the first Medal of Honor recipients; James J. Andrews led the raid. He was caught and hanged as a U.S. spy, but as a civilian he was not eligible to receive the medal.

As with so many other of his actions and behaviors, Trump continually shows he has no respect for anyone or anything. He only sees people, institutions, and ideas for their direct value to him or their indirect value as a tool with which he can obtain something else of value. Lack of respect for others is a core feature in sociopaths.