The Presidential Medal of Freedom is the highest civilian award of the United States. It is bestowed by the president to individuals who have made especially meritorious contributions to the security or national interests of the U.S., world peace, or significant cultural or public endeavors. The award is not limited to U.S. citizens and can be given to both civilians and military personnel. It was established in 1963 by President John F. Kennedy, succeeding a previous Medal of Freedom from 1945. The medal can also be awarded "with distinction," a higher degree of honor at the president's discretion. Over 673 awards have been given as of June 2024.