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Financial Instruments and Fair Value Measures - Financial Instruments (Details)
12 Months Ended
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2021
EUR (€)
derivative
Dec. 31, 2021
USD ($)
derivative
Dec. 31, 2020
EUR (€)
Dec. 31, 2020
USD ($)
Sep. 30, 2019
USD ($)
Derivative instruments, notional amount and fair value                
Number of outstanding derivative instruments containing credit risk contingent features | derivative       0 0      
Amount excluded from the assessment of effectiveness for cash flow hedges $ 0 $ 0            
Amount excluded from the assessment of effectiveness for fair value hedges 0 0            
Fair value - Derivatives in asset position         $ 267,000,000   $ 189,000,000  
Fair value - Derivatives in liability position         37,000,000   166,000,000  
Designated as hedging instrument | Net investment hedges | Senior notes                
Derivative instruments, notional amount and fair value                
Aggregate principal amount of senior Euro notes | €       € 5,900,000,000   € 6,600,000,000    
Designated as hedging instrument | Foreign currency forward exchange contracts                
Derivative instruments, notional amount and fair value                
Treasury rate lock gain recognized in other comprehensive income (loss) $ 82,000,000 (71,000,000) $ (5,000,000)          
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges                
Derivative instruments, notional amount and fair value                
Notional amount of derivative instruments         1,100,000,000   1,500,000,000  
Duration of forward exchange contracts 18 months              
Approximate length of time over which accumulated gains and losses will be recognized in cost of products sold 6 months              
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Prepaid expenses and other                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position         51,000,000   2,000,000  
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Accounts payable and accrued liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position         2,000,000   82,000,000  
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Other assets                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position         0   0  
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Other long-term liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position         0   6,000,000  
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges                
Derivative instruments, notional amount and fair value                
Notional amount of derivative instruments | €       € 4,300,000,000   € 971,000,000    
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Prepaid expenses and other                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position         149,000,000   0  
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Accounts payable and accrued liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position         0   11,000,000  
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Other assets                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position         15,000,000   0  
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Other long-term liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position         0   0  
Designated as hedging instrument | Treasury rate lock agreements                
Derivative instruments, notional amount and fair value                
Treasury rate lock gain recognized in other comprehensive income (loss) $ 0 0 383,000,000          
Designated as hedging instrument | Treasury rate lock agreements | Cash flow hedges                
Derivative instruments, notional amount and fair value                
Notional amount of derivative instruments               $ 10,000,000,000
Designated as hedging instrument | Interest rate swap contracts                
Derivative instruments, notional amount and fair value                
Treasury rate lock gain recognized in other comprehensive income (loss) $ 2,000,000 $ (53,000,000) $ 4,000,000          
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges                
Derivative instruments, notional amount and fair value                
Notional amount of derivative instruments         750,000,000   2,300,000,000  
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Prepaid expenses and other                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position         0   0  
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Accounts payable and accrued liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position         7,000,000   14,000,000  
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Other assets                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position         0   0  
Designated as hedging instrument | Interest rate swap contracts | Cash flow hedges | Other long-term liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position         0   20,000,000  
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges                
Derivative instruments, notional amount and fair value                
Notional amount of derivative instruments         4,500,000,000   4,800,000,000  
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Prepaid expenses and other                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position         0   7,000,000  
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Accounts payable and accrued liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position         0   0  
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Other assets                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position         26,000,000   131,000,000  
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Other long-term liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position         15,000,000   0  
Not designated as hedging instrument | Foreign currency forward exchange contracts                
Derivative instruments, notional amount and fair value                
Notional amount of derivative instruments         8,200,000,000   8,600,000,000  
Not designated as hedging instrument | Foreign currency forward exchange contracts | Prepaid expenses and other                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in asset position         26,000,000   49,000,000  
Not designated as hedging instrument | Foreign currency forward exchange contracts | Accounts payable and accrued liabilities                
Derivative instruments, notional amount and fair value                
Fair value - Derivatives in liability position         $ 13,000,000   $ 33,000,000