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What's the difference between a national medal and a national honorary title?
First, the winning conditions are different.

The Republic Medal is awarded to outstanding people who have made great contributions to Socialism with Chinese characteristics's national construction and national defense, and the Friendship Medal is awarded to foreigners who have made outstanding contributions to China's socialist modernization, promoting exchanges and cooperation between China and foreign countries, and safeguarding world peace.

Awarded the honorary title of the country to outstanding people who have made great contributions and enjoyed high reputation in the fields of economy, society, national defense, diplomacy, education, science and technology, culture, health and sports.

Second, the recipients are different.

National medals are awarded to outstanding people who have made great contributions to the construction and national defense of Socialism with Chinese characteristics, or foreigners who have made outstanding contributions to China's socialist modernization, promoting exchanges and cooperation between China and foreign countries, and safeguarding world peace.

National honorary titles are awarded to outstanding people who have made great contributions and enjoyed high reputation in the fields of economy, society, national defense, diplomacy, education, science and technology, culture, health and sports.

Extended data:

The background of People's Republic of China (PRC) National Medal and National Honorary Title Law;

20 15 in August, the 16th meeting of the 12th the National People's Congress Standing Committee (NPCSC) held a preliminary review of the draft law on national medals and national honorary titles. The draft points out that the national medal and the national honorary title are the highest honors of the country. The first draft also pointed out that if the winner of the national medal and the national honorary title dies, the medal, medal and certificate will be inherited by his successor.

The second draft of the draft not only clarifies that the national medal and the national honorary title shall not be used for profit-making activities, but also stipulates that the winner of the national medal and the national honorary title may be kept by the state if there is no heir or nominee.

Regarding the award of medals, the first draft stipulates that foreigners who meet the requirements can be awarded national medals. On the other hand, the second draft stipulates the special name of the medal awarded to foreigners, pointing out that the state has established the "Friendship Medal" to award foreigners who have made outstanding contributions to China's socialist modernization, promoting exchanges and cooperation between China and foreign countries, and safeguarding world peace.

Considering the needs of foreign exchanges, the second draft also added a provision that President People's Republic of China (PRC) can directly award the "Friendship Medal" to foreign dignitaries and international friends when he is engaged in state activities.

On February 26th, 2005, the draft law of national medal and national honorary title was submitted to the National People's Congress Standing Committee (NPCSC) again for deliberation. In the second draft, it is added that national medals, national medals of honor and certificates shall not be sold, rented or used for other profit-making activities.

Baidu Encyclopedia-People's Republic of China (PRC) National Medal and National Honorary Title Law