The give aways are 99% to officers. Now enlisted grunts pay the price. Officers get decorations based on time and location,,etc.
I agree the standard should be very high. But it shouldnt be in the realm of the exotic. Read the citations from Vietnam, Korea or WWII. They are normal, incredibly brave moments. We are turning MOH into an odd cult-like thing, and ignoring many who deserve it.
I think they just dont want a living man to get one in a ceremony. They dont want any heroes from this war who will live 50 more years. It would interfere with the DNC narrative of this being the evil Bush war.