Consolidated Statement of Cash Flows - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Operating activities
Net income	$ 6,960	$ 7,728	$ 6,377
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation of property, plant and equipment	986	831	658
Amortization of acquisition-related intangible assets	2,395	1,761	1,667
Change in deferred income taxes	(995)	(647)	(552)
Stock-based compensation	307	230	196
Loss on early extinguishment of debt	26	767	0
Other non-cash expenses	524	190	338
Changes in assets and liabilities, excluding the effects of acquisitions and disposition:
Accounts receivable	(430)	(204)	(1,302)
Inventories	(825)	(1,065)	(508)
Accounts payable	648	479	59
Contributions to retirement plans	(41)	(34)	(96)
Other	(401)	(724)	1,452
Net cash provided by operating activities	9,154	9,312	8,289
Investing activities
Acquisitions, net of cash acquired	(39)	(19,395)	(38)
Purchase of property, plant and equipment	(2,243)	(2,523)	(1,474)
Proceeds from sale of property, plant and equipment	24	20	8
Other investing activities, net	99	(34)	(6)
Net cash used in investing activities	(2,159)	(21,932)	(1,510)
Financing activities
Net proceeds from issuance of debt	3,193	18,137	3,464
Repayment of debt	(375)	(11,738)	(710)
Proceeds from issuance of commercial paper	1,526	2,512	383
Repayments of commercial paper	(3,690)	0	(387)
Purchases of company common stock	(3,000)	(2,000)	(1,500)
Dividends paid	(455)	(395)	(337)
Other financing activities, net	(9)	65	46
Net cash (used in) provided by financing activities	(2,810)	6,581	959
Exchange rate effect on cash	(139)	194	176
Increase (decrease) in cash, cash equivalents and restricted cash	4,046	(5,845)	7,914
Cash, cash equivalents and restricted cash at beginning of year	4,491	10,336	2,422
Cash, cash equivalents and restricted cash at end of year	$ 8,537	$ 4,491	$ 10,336