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	$ 8,040	$ 6,345	$ 7,014
Adjustments to reconcile net earnings/(loss) to net cash provided by operating activities:
Depreciation and amortization, net	9,760	10,276	10,686
Deferred income taxes	(3,288)	(2,738)	(1,393)
Stock-based compensation	518	457	583
Impairment charges	255	179	1,207
Divestiture gains and royalties	(884)	(1,063)	(684)
Acquired IPRD	913	815	1,159
Equity investment losses/(gains), net	160	801	(745)
Contingent consideration fair value adjustments	(8)	(9)	(542)
Other adjustments	308	232	183
Changes in operating assets and liabilities:
Receivables	(995)	(663)	(1,054)
Inventories	(751)	(69)	13
Accounts payable	198	109	245
Rebates and discounts	904	427	863
Income taxes payable	(603)	(1,423)	(1,063)
Other	(667)	(610)	(265)
Net Cash Provided by Operating Activities	13,860	13,066	16,207
Cash Flows From Investing Activities:
Sale and maturities of marketable debt securities	733	6,411	4,196
Purchase of marketable debt securities	(1,774)	(3,592)	(5,478)
Proceeds from sales of equity investment securities	215	218	2,579
Capital expenditures	(1,209)	(1,118)	(973)
Divestiture and other proceeds	909	1,305	748
Acquisition and other payments, net of cash acquired	(1,169)	(4,286)	(1,610)
Net Cash Used in Investing Activities	(2,295)	(1,062)	(538)
Cash Flows From Financing Activities:
Short-term debt obligations, net	(120)	194	(160)
Issuance of long-term debt	4,455	5,926	0
Repayment of long-term debt	(3,879)	(11,431)	(6,022)
Repurchase of common stock	(5,155)	(8,001)	(6,287)
Dividends	(4,744)	(4,634)	(4,396)
Stock option proceeds and other, net	27	984	641
Net Cash Used in Financing Activities	(9,416)	(16,962)	(16,224)
Effect of Exchange Rates on Cash, Cash Equivalents and Restricted Cash	45	(33)	(102)
Increase/(Decrease) in Cash, Cash Equivalents and Restricted Cash	2,194	(4,991)	(657)
Cash, Cash Equivalents and Restricted Cash at Beginning of Year	9,325	14,316	14,973
Cash, Cash Equivalents and Restricted Cash at End of Year	$ 11,519	$ 9,325	$ 14,316