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Financial Instruments and Fair Value Measures - Financial Instruments (Details)
€ in Millions, SFr in Millions, $ in Millions, kr in Billions
6 Months Ended
Jun. 30, 2024
USD ($)
Jun. 30, 2023
USD ($)
Jun. 30, 2024
EUR (€)
Jun. 30, 2024
SEK (kr)
Jun. 30, 2024
CAD ($)
Jun. 30, 2024
CHF (SFr)
Dec. 31, 2023
USD ($)
Dec. 31, 2023
EUR (€)
Dec. 31, 2023
SEK (kr)
Dec. 31, 2023
CAD ($)
Dec. 31, 2023
CHF (SFr)
Jun. 30, 2023
EUR (€)
Dec. 31, 2019
USD ($)
Derivative instruments, notional amount and fair value                          
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 192,000,000           $ 66,000,000            
Fair value - Derivatives in liability position 341,000,000           496,000,000            
Designated as hedging instrument | Net investment hedges | Senior notes                          
Derivative instruments, notional amount and fair value                          
Principal amount of unsecured senior notes | €     € 3,200         € 5,400          
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges                          
Derivative instruments, notional amount and fair value                          
Notional amount of derivative instruments $ 1,300,000,000           1,800,000,000            
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 $ 21,000,000           12,000,000            
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           32,000,000            
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 1,000,000           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           0            
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges                          
Derivative instruments, notional amount and fair value                          
Notional amount of derivative instruments     € 7,100 kr 1.9 $ 750 SFr 70   € 4,900 kr 1.4 $ 750 SFr 50    
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 78,000,000           13,000,000            
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 17,000,000           66,000,000            
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 55,000,000           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 4,000,000           69,000,000            
Designated as hedging instrument | Treasury rate lock agreements | Cash flow hedges                          
Derivative instruments, notional amount and fair value                          
Notional amount of derivative instruments                         $ 10,000,000,000.0
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges                          
Derivative instruments, notional amount and fair value                          
Notional amount of derivative instruments 3,500,000,000           5,000,000,000.0            
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 0           0            
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 304,000,000           293,000,000            
Designated as hedging instrument | Cross Currency Swap Contract | Cash flow hedges                          
Derivative instruments, notional amount and fair value                          
Notional amount of derivative instruments | €                       € 433  
Not designated as hedging instrument | Foreign currency forward exchange contracts                          
Derivative instruments, notional amount and fair value                          
Notional amount of derivative instruments 8,600,000,000           7,900,000,000            
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 37,000,000           41,000,000            
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 $ 14,000,000           $ 36,000,000