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Financial Instruments (Details)
€ in Millions, $ in Millions
12 Months Ended
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2018
EUR (€)
Derivatives, Fair Value [Line Items]      
Derivatives designated as hedging instruments - assets $ 22 $ 178  
Derivatives designated as hedging instruments - liabilities 194 18  
Derivatives not designated as hedging instruments - assets 63 75  
Derivatives not designated as hedging instruments - liabilities 92 60  
Four Quarter Rolling Average Of Notional Amount Of Foreign Exchange Contracts Hedging Foreign Currency Transactions 20,100 19,100  
Gain (loss) recorded in Accumulated other comprehensive loss (307) 347  
(Gain) loss reclassified from Accumulated other comprehensive loss into Product sales (effective portion) $ (16) (39)  
Description of Net Investment Hedge Activity <div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-top:8px;text-indent:32px;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">We have approximately </font><font style="font-family:inherit;font-size:10pt;">€4.95 billion</font><font style="font-family:inherit;font-size:10pt;"> of euro-denominated long-term debt and </font><font style="font-family:inherit;font-size:10pt;">€750 million</font><font style="font-family:inherit;font-size:10pt;"> of euro-denominated commercial paper borrowings outstanding, which qualify as a net investment hedge against our investments in European businesses</font><font style="font-family:inherit;font-size:10pt;font-style:italic;">. </font><font style="font-family:inherit;font-size:10pt;">As of </font><font style="font-family:inherit;font-size:10pt;">December 31, 2018</font><font style="font-family:inherit;font-size:10pt;">, the net investment hedge is deemed to be effective. </font></div></div>    
Long-term debt, euro-denominated | €     € 4,950
Commercial paper, euro-denominated $ 858   € 750
Foreign Currency Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months (48)    
Gain recognized in Other income, net $ 115 77  
Maximum Length of Time, Foreign Currency Cash Flow Hedge 4 years 20 days    
Other Current Assets [Member]      
Derivatives, Fair Value [Line Items]      
Derivatives designated as hedging instruments - assets $ 10 77  
Derivatives not designated as hedging instruments - assets 44 70  
Other Noncurrent Assets [Member]      
Derivatives, Fair Value [Line Items]      
Derivatives designated as hedging instruments - assets 12 101  
Derivatives not designated as hedging instruments - assets 19 5  
Accrued Liabilities [Member]      
Derivatives, Fair Value [Line Items]      
Derivatives designated as hedging instruments - liabilities 83 10  
Derivatives not designated as hedging instruments - liabilities 89 57  
Other Long-Term Liabilities [Member]      
Derivatives, Fair Value [Line Items]      
Derivatives designated as hedging instruments - liabilities 111 8  
Derivatives not designated as hedging instruments - liabilities $ 3 $ 3