Consolidated Statements of Cash Flows - USD ($) $ in Millions		12 Months Ended
		Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Operating Activities
Net income including noncontrolling interests		$ 2,455	$ 1,967	$ 2,338
Adjustments to reconcile net income including noncontrolling interests to net cash provided by operations:
Depreciation and amortization		567	545	556
ERISA litigation matter		267	0	0
Restructuring and termination benefits, net of cash		(23)	49	(21)
Stock-based compensation expense		122	125	135
Gain on the sale of land		0	(47)	0
Goodwill and intangible assets impairment charges		0	721	571
Loss on early extinguishment of debt		0	0	75
Deferred income taxes		(98)	(78)	(132)
Cash effects of changes in:
Receivables		(37)	(227)	(84)
Inventories		194	(333)	(72)
Accounts payable and other accruals		309	(115)	14
Other non-current assets and liabilities		(11)	(51)	(55)
Net cash provided by operations		3,745	2,556	3,325
Investing Activities
Capital expenditures		(705)	(696)	(567)
Purchases of marketable securities and investments		(506)	(470)	(141)
Proceeds from sale of marketable securities and investments		502	322	141
Payment for acquisitions, net of cash acquired		0	(809)	0
Proceeds from the sale of land		0	47	0
Other investing activities		(33)	5	(25)
Net cash used in investing activities		(742)	(1,601)	(592)
Financing Activities
Short-term borrowing (repayment) less than 90 days, net		(906)	540	(171)
Principal payments on debt	[1]	(903)	(406)	(703)
Proceeds from issuance of debt		1,495	1,513	699
Dividends paid		(1,749)	(1,691)	(1,679)
Purchases of treasury shares		(1,128)	(1,308)	(1,320)
Proceeds from exercise of stock options		380	418	424
Other financing activities		18	(18)	(24)
Net cash used in financing activities		(2,793)	(952)	(2,774)
Effect of exchange rate changes on Cash and cash equivalents		(19)	(60)	(15)
Net increase (decrease) in Cash and cash equivalents		191	(57)	(56)
Cash and cash equivalents at beginning of year		775	832	888
Cash and cash equivalents at end of year		966	775	832
Supplemental Cash Flow Information
Income taxes paid		937	945	890
Interest paid		$ 280	$ 151	$ 194

[1] (1) For the years ended December 31, 2023, 2022 and 2021, Principal payments on debt includes cash charges of $0 and $0 and $75, respectively, related to the extinguishment of debt prior to maturity. See Note 6, Long-Term Debt and Credit Facilities for additional information.