CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022
Cash Flows From Operating Activities:
Net earnings	$ 2,267	$ 1,283
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation and amortization, net	2,429	2,584
Deferred income taxes	(548)	(687)
Stock-based compensation	122	107
Impairment charges	20	41
Divestiture gains and royalties	(194)	(387)
Acquired IPRD	75	333
Equity investment losses	155	644
Other adjustments	4	256
Changes in operating assets and liabilities:
Receivables	(175)	786
Inventories	(282)	1
Accounts payable	187	23
Rebates and discounts	(910)	(930)
Income taxes payable	884	831
Other	(1,064)	(1,073)
Net cash provided by operating activities	2,970	3,812
Cash Flows From Investing Activities:
Sale and maturities of marketable debt securities	57	2,100
Purchase of marketable debt securities	(200)	(1,714)
Proceeds from sales of equity investment securities	62	2
Capital expenditures	(278)	(253)
Divestiture and other proceeds	227	402
Acquisition and other payments, net of cash acquired	(78)	(442)
Net cash (used in)/provided by investing activities	(210)	95
Cash Flows From Financing Activities:
Short-term debt obligations, net	128	42
Issuance of long-term debt	0	5,926
Repayment of long-term debt	(1,640)	(5,769)
Repurchase of common stock	(250)	(5,000)
Dividends	(1,196)	(1,185)
Stock option proceeds and other, net	(92)	333
Net cash used in financing activities	(3,050)	(5,653)
Effect of exchange rates on cash, cash equivalents and restricted cash	13	9
Decrease in cash, cash equivalents and restricted cash	(277)	(1,737)
Cash, cash equivalents and restricted cash at beginning of period	9,325	14,316
Cash, cash equivalents and restricted cash at end of period	$ 9,048	$ 12,579