I know they deeply research these things prior to award, but man. 10 years seems like a long time. Dude is a legit hero.
There was an initiative under the Obama Admin to re-open and re-review high honors which may have best deserved the MOH. But it’s a long process. Not 10 years long, but long.
Many times, if it is a joint special ops mission, all of the service components involved have to review and approve the citation. You have Army and Navy door kickers, Air Force combat controllers, etc. That review also includes those respective service components delegating the research to lower ranking folks to determine if the particular citation makes any of their guys look incompetent and also arguing that "if the Army's guy is getting a MOH then my guy should too." Not saying that happened here but it happens.