Unlike other valor awards, it is the highest award automatically granted once specific criteria—being wounded or killed in combat—are met.
There is significant debate regarding whether psychological wounds like Post-Traumatic Stress Disorder (PTSD) or mild traumatic brain injuries (TBI) should qualify for the medal. Purple Hearts
Modern legislation (e.g., NDAA for FY2015) has expanded eligibility to include victims of certain terrorist attacks on U.S. soil, such as the Fort Hood shooting. 2. Ongoing Debates and Issues Unlike other valor awards, it is the highest