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Roosevelt and his Rough Riders played an absolutely key role, along with a battery of Gatling guns commanded by Lt. The then-Colonel Theodor Roosevelt was placed in command of the 1st United States Volunteer Cavalry, a hodgepodge of the most eclectic and diverse personalities imaginable - all formidable with rifle and horse - named the Rough Riders. His leadership and valor turned the tide in the battle for San Juan Hill.” Presiden Theodore Roosevelt’s Medal of Honor citation Roosevelt’s Medal of Honor “Facing the enemy’s heavy fire, he displayed extraordinary bravery throughout the charge, and was the first to reach the enemy trenches, where he quickly killed one of the enemy with his pistol, allowing his men to continue the assault.
A posthumous award is no less an award, one that no other American president was awarded before or ever since Roosevelt, who received his medal as recently as 2001. As with many soldiers, the award is often awarded posthumously (after deceased) because the effort of bravery required to achieve such an accolade often costs the recipient their life.