The highest civilian award in the United States is the Presidential Medal of Freedom. This prestigious honor was established in 1963 by President John F. Kennedy and is awarded to individuals who have made significant contributions to the national interests of the U.S., to world peace, or to cultural or other significant endeavors. Recipients can come from a variety of fields, including politics, science, arts, and humanitarian efforts. The award recognizes extraordinary achievements and contributions that have improved society and inspired others, making it a symbol of national honor and appreciation for exceptional service and contributions.