Condensed Consolidated Statement of Cash Flows (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2012	Jun. 30, 2011
Cash Flow From (Used in) Operating Activities:
Net earnings	$ 2,966,736	$ 2,806,600
Adjustments to reconcile earnings to net cash from operating activities -
Depreciation	675,097	733,486
Amortization of intangibles	759,605	823,593
Share-based compensation	283,127	252,265
Acquired in-process and collaborations research and development	260,000	272,500
Trade receivables	743,512	515,888
Inventories	(379,478)	49,979
Other, net	(1,016,840)	(940,013)
Net Cash From Operating Activities	4,291,759	4,514,298
Cash Flow From (Used in) Investing Activities:
Acquisitions of property and equipment	(878,446)	(764,770)
Acquisitions of businesses and technology	(780,849)	(187,500)
Purchases of investment securities, net	(2,677,257)	(3,025,737)
Release of restricted funds		1,870,000
Other	12,308	12,370
Net Cash (Used in) Investing Activities	(4,324,244)	(2,095,637)
Cash Flow From (Used in) Financing Activities:
Proceeds from issuance of short-term debt and other	2,696,769	1,174,730
Payment of long-term debt	(54,000)	(2,006,679)
Purchases of common shares	(1,722,114)	(73,845)
Proceeds from stock options exercised, including income tax benefit	1,046,318	269,655
Dividends paid	(1,565,532)	(1,434,376)
Net Cash From (Used in) Financing Activities	401,441	(2,070,515)
Effect of exchange rate changes on cash and cash equivalents	(129,000)	80,501
Net Increase in Cash and Cash Equivalents	239,956	428,647
Cash and Cash Equivalents, Beginning of Year	6,812,820	3,648,371
Cash and Cash Equivalents, End of Period	$ 7,052,776	$ 4,077,018