Consolidated Statements Of Cash Flows (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Cash flows from operating activities:
Net income	$ 689,800	$ 530,100	$ 328,000
Adjustments to reconcile net income to net cash provided by operating activities, net of acquired businesses:
Depreciation and amortization	146,400	136,300	115,100
Litigation charges, net	423,500	0	230,900
Gain on the EP Sale	(213,000)	0	0
Acquired in-process research and development	30,000	3,500	3,500
Asset impairments	12,300	22,200	0
Restructuring, net of payments	(2,100)	16,000	4,600
Deferred income taxes	(39,700)	31,700	(18,300)
Share-based compensation	61,500	52,100	55,500
Impairment charge for foreign government bonds	0	0	11,500
Inventory reserves and provision for doubtful accounts	22,500	22,900	18,400
Other items	2,900	(7,100)	(1,100)
Changes in assets and liabilities, net of acquired businesses:
Accounts receivable	23,500	37,700	(45,000)
Inventories	(35,900)	(25,000)	(14,600)
Current liabilities	(77,300)	(147,000)	31,100
Taxes	76,500	(15,900)	(1,900)
Other, net	2,400	3,700	3,800
Net cash provided by operating activities	1,123,300	661,200	721,500
Cash flows from investing activities:
Capital expenditures	(69,100)	(72,600)	(71,400)
Change in restricted cash	8,700	122,100	(147,100)
Payments made for purchases of businesses, net of cash acquired	(464,600)	(139,900)	(539,300)
Proceeds from the EP Sale, net	267,400	0	0
Payments made for intangibles	(33,900)	(19,400)	(17,900)
Other	3,200	11,600	3,400
Net cash used in investing activities	(288,300)	(98,200)	(772,300)
Cash flows from financing activities:
Change in short-term borrowings, net	0	(304,500)	224,000
Proceeds from issuance of long-term debt, net of discount	0	499,400	0
Payments of long-term debt	0	(5,300)	0
Proceeds from exercises under share-based compensation plans, net	122,000	83,300	102,300
Excess tax benefit relating to share-based compensation plans	20,500	11,800	25,100
Purchases of common stock	(738,100)	(472,400)	(280,700)
Dividends paid	(66,500)	(66,700)	(64,600)
Other	(1,200)	(8,800)	(2,200)
Net cash (used in) provided by financing activities	(663,300)	(263,200)	3,900
Effect of exchange rate changes on cash and cash equivalents	(1,100)	100	1,900
Increase (decrease) in cash and cash equivalents during the year	170,600	299,900	(45,000)
Balance at January 1	896,300	596,400	641,400
Balance at December 31	1,066,900	896,300	596,400
Cash paid for:
Interest	41,600	37,100	25,600
Income taxes	466,300	174,700	177,900
Non-cash transactions:
Dividends declared, not paid	16,600	16,700	16,500
Purchases of businesses and related costs	17,200	3,600	70,200
Receipt of foreign government bonds	0	0	16,800
Purchase of common stock not settled	$ 0	$ 0	$ 14,400