I was one of the players that asked KevlarGolem about the medal. Of course, why wouldn't I?! Understanding the context helps.
I am honestly torn, partly in that negative medals encourage medal retaliations. If I was back-stabbed, I can send a medal but since they know it was from me, they can send one back despite my moral high-ground which seems to run counter to having a meaningful medal system.
On the other hand, there are anonymous rooms for that type of game-play.
...perhaps anonymous medals?
I admit, I skipped a couple of pages here so I do apologize if I've repeated someone else.