Consolidated Statements Of Cash Flows (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009
Cash flows from operating activities:
Net earnings	$ 538,803	$ 345,542	$ 247,748
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation and amortization	510,688	422,788	401,157
Stock-based compensation expense	42,576	31,385	31,166
Net earnings from equity method investees			(1,196)
Change in estimated sales allowances	(3,540)	42,608	110,746
Deferred income tax (benefit) expense	(57,405)	11,287	(154,649)
Other non-cash items	111,018	93,175	70,039
Litigation settlements, net	48,556	127,058	164,517
Changes in operating assets and liabilities:
Accounts receivable	(318,870)	21,865	(175,798)
Inventories	(220,600)	(94,728)	20,110
Trade accounts payable	133,666	23,021	4,244
Income taxes	96,935	20,247	(115,800)
Deferred revenue	(996)	23,626	(29,616)
Other operating assets and liabilities, net	(160,407)	(136,470)	32,407
Net cash provided by operating activities	720,424	931,404	605,075
Cash flows from investing activities:
Capital expenditures	(279,848)	(192,792)	(154,402)
Change in restricted cash	15,030	24,875	(7,463)
Cash paid for acquisitions, net	(80,510)	(562,765)	(236,661)
Purchase of marketable securities	(10,024)	(7,520)
Other items, net	23,311	12,792	63,528
Net cash used in investing activities	(332,041)	(725,410)	(334,998)
Cash flows from financing activities:
Cash dividends paid		(139,035)	(139,035)
Payment of financing fees	(17,246)	(29,084)
Cash paid for warrant amendment and exchange	(149,947)
Purchase of common stock	(349,998)
Change in short-term borrowings, net	(15,614)	(27,415)	8,568
Proceeds from issuance of long-term debt	1,458,000	2,356,633	6,448
Payment of long-term debt	(1,644,198)	(2,115,402)	(350,032)
Proceeds from exercise of stock options	67,738	54,653	19,623
Other items, net	6,269
Net cash (used in) provided by financing activities	(644,996)	100,350	(454,428)
Effect on cash of changes in exchange rates	(30,383)	(24,808)	7,720
Net (decrease) increase in cash and cash equivalents	(286,996)	281,536	(176,631)
Cash and cash equivalents - beginning of period	662,052	380,516	557,147
Cash and cash equivalents - end of period	375,056	662,052	380,516
Non-cash transactions:
Contingent consideration	376,110
Cash paid during the period for:
Income taxes	124,123	114,809	272,323
Interest	$ 284,637	$ 144,176	$ 223,347