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Segment Information (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Segment Reporting Information [Line Items]    
Net Sales to External Customers $ 9,747 $ 11,895
Operating Earnings 1,509 2,912
Amortization of intangible assets (491) (512)
Earnings before taxes $ 1,562 $ 2,876
Annual share-based awards recognized in first quarter (as a percent) 45.00% 45.00%
Operating Segments    
Segment Reporting Information [Line Items]    
Net Sales to External Customers $ 9,744 $ 11,892
Operating Earnings 2,409 4,140
Operating Segments | Established Pharmaceutical Products    
Segment Reporting Information [Line Items]    
Net Sales to External Customers 1,189 1,147
Operating Earnings 300 242
Operating Segments | Nutritional Products    
Segment Reporting Information [Line Items]    
Net Sales to External Customers 1,967 1,894
Operating Earnings 380 251
Operating Segments | Diagnostic Products    
Segment Reporting Information [Line Items]    
Net Sales to External Customers 2,688 5,257
Operating Earnings 651 2,564
Operating Segments | Medical Devices    
Segment Reporting Information [Line Items]    
Net Sales to External Customers 3,900 3,594
Operating Earnings 1,078 1,083
Other    
Segment Reporting Information [Line Items]    
Net Sales to External Customers 3 3
Segment Reconciling Items    
Segment Reporting Information [Line Items]    
Corporate functions and benefit plan costs (77) (114)
Net interest expense (52) (117)
Share-based compensation (281) (305)
Amortization of intangible assets (491) (512)
Other, net $ 54 (216)
Segment Reconciling Items | Nutritional Products    
Segment Reporting Information [Line Items]    
Inventory recall expense   $ 120