the president thanked Limbaugh for his "decades of tireless devotion to our country" as the conservative commentator broke into tears.

"In recognition of all that you have done for our nation, the millions of people a day that you speak to and that you inspire, and all of the incredible work that you have done for charity, I am proud to announce tonight that you will be receiving our country’s highest civilian honor, the Presidential Medal of Freedom," President Trump said

So yeah, he literally did nothing but spew bullshit and he got the award. And even then it was really only because of his cancer diagnosis. God trump really brought shame to every aspect of the position - even the presidential medals.