Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions	6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022
Statement of Cash Flows [Abstract]
Net earnings	$ 2,268	$ 5,421
Adjustments to reconcile net earnings to net cash from operating activities:
Depreciation	369	401
Amortization of intangible assets	4,018	3,704
Deferred income taxes	(635)	(794)
Change in fair value of contingent consideration liabilities	3,424	861
Stock-based compensation	492	413
Acquired IPR&D and milestones	430	414
Gain on divestitures		(172)
Non-cash litigation reserve adjustments, net of cash payments	(118)	2,190
Impairment of intangible assets	710	0
Other, net	(173)	(86)
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable	(275)	(1,396)
Inventories	(458)	(499)
Prepaid expenses and other assets	285	14
Accounts payable and other liabilities	1,107	(448)
Income tax assets and liabilities, net	(932)	(110)
Cash flows from operating activities	10,512	9,913
Cash flows from investing activities
Acquisitions and investments	(513)	(394)
Acquisitions of property and equipment	(353)	(305)
Purchases of investment securities	(35)	(1,411)
Sales and maturities of investment securities	36	50
Other, net	25	599
Cash flows from investing activities	(840)	(1,461)
Cash flows from financing activities
Proceeds from issuance of long-term debt	0	2,000
Repayments of long-term debt and finance lease obligations	(2,353)	(4,881)
Dividends paid	(5,286)	(5,033)
Purchases of treasury stock	(1,965)	(1,479)
Proceeds from the exercise of stock options	113	198
Payments of contingent consideration liabilities	(641)	(482)
Other, net	20	26
Cash flows from financing activities	(10,112)	(9,651)
Effect of exchange rate changes on cash and equivalents	(2)	(26)
Net change in cash and equivalents	(442)	(1,225)
Cash and equivalents, beginning of period	9,201	9,746
Cash and equivalents, end of period	$ 8,759	$ 8,521