Consolidated Statements Of Cash Flows (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Cash flows from operating activities:
Net income	$ 530,100	$ 328,000	$ 509,600
Adjustments to reconcile net income to net cash provided by operating activities, net of acquired businesses:
Depreciation and amortization	136,300	115,100	104,900
Share-based compensation	52,100	55,500	58,200
Asset impairments	22,200
Restructuring, net of payments	16,000	4,600	16,700
Legal settlements and commitments, net of payments		230,900
Impairment charge for foreign government bonds		11,500
Acquired in-process research and development	3,500	3,500	2,600
Deferred income taxes	31,700	(18,300)	(2,300)
Inventory reserves and provision for doubtful accounts	22,900	18,400	21,900
Other items	(7,100)	(1,100)	(2,800)
Changes in assets and liabilities, net of acquired businesses:
Accounts receivable	37,700	(45,000)	(29,600)
Inventories	(25,000)	(14,600)	(32,900)
Current liabilities	(147,000)	31,100	17,900
Taxes	(15,900)	(1,900)	(28,800)
Other, net	3,700	3,800	2,400
Net cash provided by operating activities	661,200	721,500	637,800
Cash flows from investing activities:
Capital expenditures	(72,600)	(71,400)	(51,200)
Change in restricted cash	122,100	(147,100)
Payments made for purchases of businesses, net of cash acquired	(139,900)	(539,300)	(290,300)
Payments made for intangibles	(19,400)	(17,900)	(13,600)
Other	11,600	3,400
Net cash used in investing activities	(98,200)	(772,300)	(355,100)
Cash flows from financing activities:
Change in short-term borrowings, net	(304,500)	224,000	80,500
Proceeds from issuance of long-term debt, net of discount	499,400		746,300
Payments of long-term debt	(5,300)
Purchase of noncontrolling interest			(25,900)
Proceeds from exercises under share-based compensation plans, net	83,300	102,300	32,100
Excess tax benefit relating to share-based compensation plans	11,800	25,100	7,900
Purchases of common stock	(472,400)	(280,700)	(1,069,900)
Dividends paid	(66,700)	(64,600)	(66,900)
Other	(8,800)	(2,200)	(14,700)
Net cash (used in) provided by financing activities	(263,200)	3,900	(310,600)
Effect of exchange rate changes on cash and cash equivalents	100	1,900	(5,100)
Increase (decrease) in cash and cash equivalents during the year	299,900	(45,000)	(33,000)
Balance at January 1	596,400	641,400	674,400
Balance at December 31	896,300	596,400	641,400
Cash paid for:
Interest	37,100	25,600	11,900
Income taxes	174,700	177,900	230,800
Noncash transactions:
Dividends declared, not paid	16,700	16,500	15,500
Purchases of businesses and related costs	3,600	70,200	5,700
Receipt of foreign government bonds		16,800
Purchase of common stock not settled		$ 14,400