Until the mid-20th century, the Lifesaving Medal was often bestowed upon members of the military; however in recent times the decoration has become somewhat rare. This is due primarily to the creation of a variety of additional military decorations that supplant the Lifesaving Medal. The United States Navy often issues the Navy and Marine Corps Medal, instead of the Lifesaving Medal, for sea rescues involving risk of life. "Military personnel serving on active duty would normally not be recommended for Gold and Silver Lifesaving Medals; however, military personnel may be recommended for a Lifesaving Medal if the act of heroism was performed while the individual was in a leave or liberty status. In all other circumstances, a military award should be considered." The Lifesaving Medal is authorized for wear on U.S. military uniforms.