Only four Iraq veterans have received the Medal of Honor, and some service members say the Pentagon has become stingy in recognizing valor.
Defense Secretary Ash Carter is expected to decide this summer whether the Medal of Honor - the nation鈥檚 highest military award - has been kept from deserving troops who served in Iraq and Afghanistan.
"We鈥檙e taking a hard look at all this and it鈥檚 a Department-wide effort," said Pentagon spokesman Nate Christensen.
Awarded by the President in the name of Congress, the Medal of Honor has been given to 3,495 service members since the beginning of the Civil War.
But only 4 Medals of Honor have been awarded to troops in Iraq. All have been posthumous. For actions in Afghanistan, the Medal of Honor 鈥 3 posthumously and 9 to living recipients.
While estimates vary on how many American troops have deployed to war since 9/11, most agree it's likely more than 2.5 million.
According to, from World War I through Vietnam, the government awarded between two and three Medals of Honor per 100,000 troops. Since 9/11, the rate has dropped to less than one-tenth that.
The scarcity of Medals of Honor for actions Iraq and Afghanistan has been for many vets.
Carter will review the work of a panel of senior uniformed and civilian officials from the Army, Navy, Air Force, and Marine Corps convened by his predecessor, Chuck Hagel. Over the past several decades, each service has had slightly different approaches to awarding medals for combat actions as well as achievements off the battlefield.
Carter is expected to standardizewhich actions should be recognized by each valor award -- from the Medal of Honor to the service crosses and the Silver Star. The panel will also address what is appropriate for the Bronze Star, Legion of Merit, and other medals that can awarded with a "V" device for valor.
The idea is to make sure that similar actions are not recognized, for example, with a Silver Star in the Army but a Bronze Star in the Marine Corps. The panel will set guidelines for each service - but will not itself decide what medal will be awarded for every case.
Carter is expected to release the panel鈥檚 findings later this summer.
In Iraq, three of the four Medals of Honor have gone to troops who knowingly sacrificed their own lives to save others -- by covering hand grenades with their own bodies.
That's what eyewitnesses said Marine Sgt. Rafael Peralta did in 2004 - but , the Marine Corps鈥 second-highest award for combat valor.
Peralta鈥檚 case has been Exhibit A for the Pentagon鈥檚 critics ever since the Marine sergeant was killed in Fallujah. For 11 years, his family has held out for the Medal of Honor, refusing to accept the Navy Cross he鈥檇 been awarded. But in early June, the Peralta family finally accepted the Navy Cross on his behalf at a ceremony on Camp Pendleton.
Writer Brian Van Reet 鈥 a former Army tank crewman 鈥 calls the Medal of Honor process 鈥渟tingy.鈥
鈥淚t鈥檚 become kind of this Holy of Holies that we don鈥檛 really even give out anymore. And so to me, that makes it, if we鈥檙e not going to give it to Peralta who are we going to give it to?鈥
Van Reet, who received the Bronze Star for Valor for service in Baghdad, said he鈥檚 puzzled by that trend.
鈥淚 don鈥檛 think you can explain that away just by saying 鈥榯his is a different kind of war.鈥 Because, while that鈥檚 true, people are still demonstrating the same kind of courage,鈥 he said.
Christensen, the Pentagon spokesman, said standards haven鈥檛 changed. He said the military carefully considers a service member鈥檚 actions, eyewitness accounts, as well as other evidence.
"You know the Medal of Honor standard is very high and that鈥檚 what we鈥檇 expect from our nation鈥檚 most prestigious military award," he said. "And we require proof beyond a quote-unquote 'reasonable doubt' that the member performed those valorous actions for which the Medal of Honor is recommended."
Copyright 2015 North Carolina Public Radio 鈥 瓜神app