Criteria for the Purple Heart medal seems straightforward: “any action against an enemy of the United States” in which a service member is “wounded or killed” merits the award. But in practice granting of the award is a contentious issue among combat veterans and a charged field for both the wounded and those who judge the wounds.
Granting the Purple Heart is just the first step in fully legitimizing and addressing PTSD. We also need systemic reform of the VA and a better system for providing the long-term clinical treatment that its casualties deserve. But awarding the medal in cases of PTSD will accomplish one essential goal: giving the respect and acknowledgement to those who are suffering from invisible wounds that we already bestow on those with scars we can see.



