I don't have that many US or Canadian readers, but for those of you looking at this from across the pond - apologies, nothing personal.
There's a certain British snobbishness about foreign medals. Service personnel have to ask for special permission to wear them. Most don't bother, unless it's the only foreign medal worth having, the Légion d'honneur. We're also pretty parsimonious in handing out our own, and it's taken sixty years for us to consider whether WWII bomber crews deserve their own campaign medal.
As Tony Blair is discovering, his two US medals - the Congressional Gold Medal and the Presidential Medal of Freedom - whilst rightly highly valued in their own country when awarded to their own citizens, make him appear rather naff here in the UK. And the earl of Wessex, who abandoned the Royal Marines to become a runner for a video production company, is frankly taking the mickey in the first place by taking the Colonelship of the most colourful TA regiment, and compounding it by sporting, in addition to the Queen's two jubilee medals that were issued with the rations, the Saskatchewan Centennial Medal. He draws the sort of mildly pitying looks usually reserved for men who stuff socks down their pants.
Correlli Barnett, writing in the Mail, reckons Blair should wear his medals in the dock at the International Court at the Hague. But since he now appears to spend his days lounging around Sir John Gielgud's old house in a shellsuit, perhaps just having them embroidered on his blouson would be theatrical enough.