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Financial Instruments (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
Sep. 30, 2015
Dec. 31, 2015
Derivative Instruments and Hedging Activities Disclosure [Abstract]          
Four Quarter Rolling Average of Notional Amount of Foreign Exchange Contracts Hedging Foreign Currency Transactions $ 18,000   $ 18,000   $ 15,600
Description of Net Investment Hedge Activity     we have issued approximately €2.95 billion of Euro-denominated debt, which qualifies as a net investment hedge against our investments in European businesses. As of September 30, 2016, the net investment hedge is deemed to be effective.    
Derivatives designated as hedging instruments, Asset Derivatives 30   $ 30   4
Derivatives not designated as hedging instruments, Asset Derivatives 71   71   97
Derivatives designated as hedging instruments, Liability Derivatives 130   130   428
Derivatives not designated as hedging instruments, Liability Derivatives 51   51   $ 105
(Loss) gain recorded in Accumulated other comprehensive loss (7) $ (152) 188 $ (274)  
Loss reclassified from Accumulated other comprehensive loss into Product Sales (effective portion) 32 64 139 164  
Foreign Currency Cash Flow Hedge Loss to be Reclassified During Next 12 Months 53   $ 53    
Maximum Length of Time, Foreign Currency Cash Flow Hedge     6 years 1 month 23 days    
Gain recognized in Other income, net $ 19 $ 35 $ 49 65  
(Payments) receipts from settlements of derivative contracts     $ 29 $ (147)