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Right: The Presidential Medal Of Freedom, the United States of America's highest civilian award.

Background information

The Presidential Medal of Freedom
(The following information is taken from the Medal of Freedom Internet site.  The full text can be found at http://www.medaloffreedom.com/)
The Presidential Medal of Freedom, the nation's highest civilian award, recognizes exceptional meritorious service. The medal was established by President Truman in 1945 to recognize notable service in the war. In 1963, President John F. Kennedy reintroduced it as an honor for distinguished civilian service in peacetime.
President John F. Kennedy authorized the practice of awarding Presidential Medals of Freedom to persons "for especially meritorious contribution to (1) the security or national interests of the United States, or (2) world peace, or (3) cultural or other significant public or private endeavors" (Executive Order 11085 dated Feb. 22, 1963).
The Presidential Medal of Freedom, medal awarded annually by the President of the United States to individuals selected by him or recommended to him by the Distinguished Civilian Service Awards Board. Recipients of the medal are those who have made outstanding contributions to the security or national interest of the United States or to world peace, or those who have made a significant public or private accomplishment. In 1963 President John F. Kennedy ordered the former Medal of Freedom renamed and the recommending board altered by adding five members from outside the executive branch of the government to the five members from within it. Recipients have included educators, diplomats, authors, scientists, and business executives.

The insignia
(The following information has been taken from the Wikipedia entry of Medal of Freedom.  The full text of this entry can be found at http://en.wikipedia.org/wiki/Presidential_Medal_of_Freedom)
The badge of the Presidential Medal of Freedom is in the form of a golden star with white enamel, with a red enamel pentagon behind it; the central disc bears thirteen gold stars on a blue enamel background (taken from the Great Seal of the United States) within a golden ring. Golden American Eagles with spread wings stand between the points of the star. It is worn around the neck on a blue ribbon with white edge stripes.
A special grade of the medal, known as the Presidential Medal of Freedom with Distinction, has the above mentioned medal worn as a star on the left chest; in addition, the above-mentioned ribbon is worn as a sash on the right shoulder, with its rosette (blue with white edge, bearing the central disc of the medal at its center) resting on the left hip.
The medal may also be worn on the above-mentioned ribbon on the left chest, with a silver American eagle with spread wings on the ribbon (or a golden eagle if a medal "With Distinction").