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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Millions
 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Operating Activities    
Net income including noncontrolling interests $ 1,915 $ 1,821 [1]
Adjustments to reconcile net income including noncontrolling interests to net cash provided by operations:    
Depreciation and amortization 385 354
Restructuring and termination benefits, net of cash (20) 80
Stock-based compensation expense 97 106
Charge for U.S. tax reform 80 0
Deferred income taxes 78 (2)
Voluntary benefit plan contributions (67) (81)
Cash effects of changes in:    
Receivables (196) (50)
Inventories (36) 16
Accounts payable and other accruals 13 39
Other non-current assets and liabilities (55) 12
Net cash provided by operations 2,194 2,295
Investing Activities    
Capital expenditures (321) (382)
Purchases of marketable securities and investments (159) (301)
Proceeds from sale of marketable securities and investments 28 149
Payment for acquisitions, net of cash acquired (728) 0
Other 6 2
Net cash used in investing activities (1,174) (532)
Financing Activities    
Principal payments on debt (5,478) (3,551)
Proceeds from issuance of debt 5,536 3,478
Dividends paid (1,122) (1,070)
Purchases of treasury shares (956) (1,055)
Proceeds from exercise of stock options 319 431
Net cash used in financing activities (1,701) (1,767)
Effect of exchange rate changes on Cash and cash equivalents (13) 69
Net increase (decrease) in Cash and cash equivalents (694) 65
Cash and cash equivalents at beginning of the period 1,535 1,315
Cash and cash equivalents at end of the period 841 1,380
Supplemental Cash Flow Information    
Income taxes paid $ 655 $ 820
[1] Prior year amounts have been reclassified to conform to the current year presentation as a result of the adoption of Accounting Standards Update (“ASU”) No. 2017-07, “Compensation-Retirement Benefits (Topic 715): Improving the Presentation of Net Periodic Pension Cost and Net Periodic Postretirement Benefit Cost.” For further information regarding the impact of the reclassification, see Note 1, Basis of Presentation, Note 3, Recent Accounting Pronouncements and Updated Accounting Policies and Note 13, Segment Information to the Condensed Consolidated Financial Statements.