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Supplemental Disclosures to the Consolidated Statements of Cash Flows (Additional Information Concerning Acquisitions, Interest And Income Taxes Paid) (Details) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Supplemental Cash Flow Information [Abstract]    
Assets acquired, excluding cash $ 679 $ 852
Liabilities assumed (35) (129)
Contingent/deferred purchase consideration (108) (94)
Net cash outflow for current year acquisitions 536 629
Interest paid 225 174
Income taxes paid, net of refunds $ 455 $ 406