Consolidated Statements of Cash Flows - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Cash flows from operating activities:
Net earnings (loss)	$ 54.7	$ 2,078.6	$ (1,269.1)
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation and amortization	2,740.5	3,027.6	4,506.5
Deferred income tax expense (benefit)	(387.1)	(25.9)	675.7
Litigation settlements and other contingencies, net	86.8	(1.7)	323.7
Loss from equity method investments	0.0	0.0	61.9
Loss (gain) on disposal of business	239.9	(1,754.1)	0.0
Share-based compensation expense	180.7	116.4	111.2
Other non-cash items	595.4	434.3	411.8
Changes in operating assets and liabilities:
Accounts receivable	78.6	(240.3)	59.3
Inventories	(613.3)	(259.5)	(427.6)
Trade accounts payable	314.7	170.2	(70.4)
Income taxes	(76.7)	25.3	(699.6)
Other operating assets and liabilities, net	(414.6)	(618.3)	(666.5)
Net cash provided by operating activities	2,799.6	2,952.6	3,016.9
Cash flows from investing activities:
Cash (paid) received for acquisitions, net of cash acquired	(667.7)	0.0	277.0
Capital expenditures	(377.0)	(406.0)	(457.2)
Payments for product rights and other, net	(97.5)	(37.0)	(52.2)
Proceeds from sale of property, plant and equipment	14.0	13.8	18.3
Proceeds from sale of assets and subsidiaries	364.1	1,950.0	96.7
Purchase of marketable securities	(26.3)	(30.2)	(30.2)
Proceeds from the sale of marketable securities	26.3	29.9	29.8
Net cash (used in) provided by investing activities	(764.1)	1,520.5	(117.8)
Cash flows from financing activities:
Proceeds from issuance of long-term debt	0.3	1,875.6	1,710.1
Payments of long-term debt	(1,250.2)	(3,662.5)	(4,201.3)
Payments of financing fees	(0.5)	(1.9)	(7.0)
Change in short-term borrowings, net	0.3	(1,493.2)	392.1
Purchase of ordinary shares	(250.0)	0.0	0.0
Taxes paid related to net share settlement of equity awards	(38.2)	(17.3)	(17.4)
Contingent consideration payments	(8.4)	(18.9)	(28.6)
Cash dividends paid	(575.6)	(581.6)	(399.0)
Non-contingent payments for product rights	(9.7)	0.0	(456.0)
Issuance of common stock	3.1	3.3	0.0
Other items, net	(173.0)	18.6	(4.9)
Net cash used in financing activities	(2,301.9)	(3,877.9)	(3,012.0)
Effect on cash of changes in exchange rates	(2.5)	(38.9)	(30.9)
Net (decrease) increase in cash, cash equivalents and restricted cash	(268.9)	556.3	(143.8)
Cash, cash equivalents and restricted cash — beginning of period	1,262.5	706.2	850.0
Cash, cash equivalents and restricted cash — end of period	993.6	1,262.5	706.2
Cash paid during the period for:
Income taxes	570.9	735.2	641.7
Interest	$ 611.6	$ 642.5	$ 684.8