There are very few accomplishments in existence more highly regarded than the Medal of Honor. Actually, I'm not 100% sure that there is anything that would impress me or other former service members more than a Medal of Honor.
Although the recognition is typically bestowed following a singular, overwhelmingly courageous deed, there is a precedent for receiving a Medal of Honor for lifetime achievements. But what exactly needs to happen to receive the highest honor in the land, not for punctuating heroism but for extended, meritorious service?
How many have been awarded?
Throughout American history, there have been approximately 3,500 Medal of Honor recipients. 19 of those are dual recipients and a little under a third of all recipients were awarded posthumously. When compared to the millions of men and women who have served, those numbers are absolutely minuscule.
Even rarer a feat than being a double Medal of Honor recipient is receiving a Medal of Honor for lifetime achievement — there have only been two such recipients ever! Those two recipients are Sergeant Major Frederick William Gerber and Major General Adolphus Greely.
Frederick William Gerber
Gerber was the very first Sergeant Major from the Army Corps of Engineers in history. He enlisted in the regular Army before the Mexican-American War and is credited with saving the life of then-Second Lieutenant George B. McClellan, who would go on to be General-in-Chief of the Union Army during the Civil War.
Gerber received the Medal of Honor in 1871, making him the first to receive the citation for accumulative service.
Greely enlisted in the volunteer Army during the American Civil War and worked his way up to the rank of First Sergeant after about two years. He went on to receive a commission and work his way up to the rank of Major before being mustered out of the volunteer Army and almost immediately into the regular Army.
He would eventually achieve the rank of Major General just before retiring in 1908 at the mandatory retirement age of 64. His career highlight is the infamous Greely Expedition. The expedition yielded many invaluable meteorological, magnetic, biological, and oceanographic records, and ultimately ended with all but six of his crew members dead.
Greely was awarded the Medal of Honor for a career that began in the mid-19th century and lasted until the early 20th. It took nearly 30 years post-retirement for Greely to get his citation — just a few months before he passed in 1935.
Will there be others?
The rules for the Medal of Honor have changed since the early 20th century and they are no longer authorized for non-combat actions. So, the simple answer is: no.
Since 1963, the prerequisite actions for a Medal of Honor have been redefined as someone having "distinguished himself conspicuously by gallantry and intrepidity at the risk of his life above and beyond the call of duty." By virtue of this very definition, the chance that we see a modern service member — or any of our brethren from yesteryear — receive a Medal of Honor for lifetime achievement is slim.
Very, very slim.