CMH is the popular title, officially it is simply the Medal of Honor. It is awarded in "the name of Congress". It gets confused with the Congressional Gold Medal and the Congressional Freedom Medal, those do require an act of Congress but the CMH is vetted and awarded by the Department of Defense, there is not even a requirement that it must presented by the President.
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The reason that the American Army does so well in wartime, is that war is chaos, and the American Army practices chaos on a daily basis.
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