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Segments of Business and Geographic Areas - Operating Profit by Segment of Business (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2018
Oct. 01, 2017
Sep. 30, 2018
Oct. 01, 2017
Dec. 31, 2017
Segment Reporting Information [Line Items]          
Percentage Change in Operating Income Loss (7.70%)   (1.60%)    
In process research and development charge $ 9,228   $ 9,228   $ 11,283
Earnings before provision for taxes on income 4,423 $ 4,790 14,877 $ 15,113  
Restructuring charges 88 69 187 165  
Asset Impairment Charges     1,226 309  
PHARMACEUTICAL          
Segment Reporting Information [Line Items]          
Royalty monetization       200  
Litigation expense       100  
Medical Devices          
Segment Reporting Information [Line Items]          
Restructuring charges 200 200 400 500  
Litigation expense   100 700 500  
Asset Impairment Charges       200  
Operating Segments          
Segment Reporting Information [Line Items]          
Total Segment Operating Income $ 4,653 5,118 $ 15,722 16,004  
Percentage Change in Operating Income Loss (9.10%)   (1.80%)    
Operating Segments | CONSUMER          
Segment Reporting Information [Line Items]          
Total Segment Operating Income $ 510 878 $ 1,887 2,132  
Percentage Change in Operating Income Loss (41.90%)   (11.50%)    
Amortization $ 100 100 $ 200 200  
Operating Segments | PHARMACEUTICAL          
Segment Reporting Information [Line Items]          
Total Segment Operating Income $ 2,876 2,857 $ 10,193 9,934  
Percentage Change in Operating Income Loss 0.70%   2.60%    
Amortization $ 700 700 $ 2,300 900  
Acquisition related costs   400      
Gain on sale of equity investments       300  
Operating Segments | Medical Devices          
Segment Reporting Information [Line Items]          
Total Segment Operating Income $ 1,267 1,383 $ 3,642 3,938  
Percentage Change in Operating Income Loss (8.40%)   (7.50%)    
Amortization $ 300 300 $ 800 800  
Corporate, Non-Segment          
Segment Reporting Information [Line Items]          
Total Segment Operating Income 230 328 845 891  
XO1          
Segment Reporting Information [Line Items]          
Contingent liability reversal (200)   (200)    
Actelion          
Segment Reporting Information [Line Items]          
Acquisition related costs     200    
Actelion | PHARMACEUTICAL          
Segment Reporting Information [Line Items]          
Acquisition related costs   200 600  
NIZORAL | Operating Segments | CONSUMER          
Segment Reporting Information [Line Items]          
Gain from divestiture 300   300    
Compeed | Operating Segments | CONSUMER          
Segment Reporting Information [Line Items]          
Gain from divestiture   $ 400   $ 400  
PANCREASE | Operating Segments | PHARMACEUTICAL          
Segment Reporting Information [Line Items]          
Gain from divestiture 100   100    
Purchased In-Process Research And Development          
Segment Reporting Information [Line Items]          
In process research and development charge 2,226   2,226   $ 4,201
Purchased In-Process Research And Development | Alios Biopharma Inc and XO1 Limited          
Segment Reporting Information [Line Items]          
In process research and development charge $ 1,100   $ 1,100