Taxes on Income - Reconciliation Between Effective Tax Rate and US Statutory Rate (Details) - USD ($) $ in Millions	12 Months Ended
Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Amount
U.S. statutory rate applied to income from continuing operations before taxes	$ 397	$ 3,453	$ 2,915
Differential arising from:
Acquisition of Prometheus	2,139	0	0
Acquisition of Imago	253	0	0
Valuation allowances	70	108	102
Acquisition-related costs, including amortization	42	(3)	8
Restructuring	41	11	61
Foreign earnings	(941)	(1,821)	(1,456)
GILTI and the foreign-derived intangible income deduction	(80)	462	(75)
R&D tax credit	(214)	(117)	(113)
State taxes	(117)	(110)	2
Inventory donations	(65)	(52)	(41)
Tax settlements	0	(10)	(275)
Acquisition of Pandion	0	0	356
Other	(13)	(3)	37
Taxes on income	$ 1,512	$ 1,918	$ 1,521
Tax Rate
U.S. statutory rate applied to income from continuing operations before taxes	21.00%	21.00%	21.00%
Differential arising from:
Acquisition of Prometheus	113.30%	0.00%	0.00%
Acquisition of Imago	13.40%	0.00%	0.00%
Valuation allowances	3.70%	0.70%	0.70%
Acquisition-related costs, including amortization	2.20%	0.00%	0.10%
Restructuring	2.20%	0.10%	0.40%
Foreign earnings	(49.80%)	(11.10%)	(10.50%)
GILTI and the foreign-derived intangible income deduction	(4.30%)	2.80%	(0.50%)
R&D tax credit	(11.30%)	(0.70%)	(0.80%)
State taxes	(6.20%)	(0.70%)	0.00%
Inventory donations	(3.50%)	(0.30%)	(0.30%)
Tax settlements	0.00%	(0.10%)	(2.00%)
Acquisition of Pandion	0.00%	0.00%	2.60%
Other	(0.70%)	0.00%	0.30%
Total, Tax Rate	80.00%	11.70%	11.00%

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