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4. Supplemental Cash Flow Information - (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2021
Mar. 31, 2021
Jun. 30, 2020
Mar. 31, 2020
Jun. 30, 2021
Jun. 30, 2020
Supplemental Cash Flow Elements [Abstract]            
Net Income Attributable to Parent $ 914,114 $ 977,414 $ 966,429 $ 685,912 $ 1,891,528 $ 1,652,341
Share-based Compensation         23,100 18,500
(Gain) Loss on Sale of Securities, Net         (100) (600)
Other than temporary impairment losses on investments         800 4,600
Changes in fair market value of equity securities         (2,210,100) (2,011,200)
Loss on Disposition of Property Plant Equipment         400 0
Changes in fair value of contingent consideration         0 (1,100)
Decrease in accounts receivable         12,900 24,700
Decrease (increase) in inventories         14,300 (79,800)
Increase in other current assets         (19,500) (18,600)
Decrease in accounts payable and other current liabilities         (34,200) 29,700
Increase in income taxes payable         (13,700) 27,800
Increase in deferred income taxes         503,800 437,400
Increase in other long term liabilities         34,100 15,500
Gain on Disposition of a division $ 0   $ (11,700)   0 (11,700)
Reduction in the carrying amount of right-of-use assets         19,600 18,700
Depreciation and amortization         66,400 68,300
Other         0 (1,300)
Payments of operating lease liabilities         (21,100) (18,300)
Net cash provided by operating activities         268,234 154,930
Noncash or Part Noncash Acquisition, Investments Acquired         1,400 100
Noncash or Part Noncash Acquisition, Fixed Assets Acquired         $ 3,800 $ 5,800