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Borrowings and Credit Agreements - Schedule of Long-term Debt Instruments (Details) - USD ($)
$ in Millions
Sep. 30, 2018
Dec. 31, 2017
Borrowings and Credit Agreements    
Total debt principal $ 63,620 $ 27,170
Debt premiums 25 28
Debt discounts and deferred financing costs (759) (196)
Long-term debt, net of premiums, discounts and deferred costs 62,886 27,002
Short-term debt (commercial paper)   (1,276)
Current portion of long-term debt (2,139) (3,545)
Long-term debt $ 60,747 22,181
1.9% senior notes due 2018    
Borrowings and Credit Agreements    
Total debt principal   2,250
Interest rate, stated percentage 1.90%  
2.25% senior notes due 2018    
Borrowings and Credit Agreements    
Total debt principal $ 1,250 1,250
Interest rate, stated percentage 2.25%  
2.25% senior notes due 2019    
Borrowings and Credit Agreements    
Total debt principal $ 850 850
Interest rate, stated percentage 2.25%  
2.8% senior notes due 2020    
Borrowings and Credit Agreements    
Total debt principal $ 2,750 2,750
Interest rate, stated percentage 2.80%  
3.125% senior notes due 2020    
Borrowings and Credit Agreements    
Total debt principal $ 2,000  
Interest rate, stated percentage 3.125%  
Floating rate notes due 2020    
Borrowings and Credit Agreements    
Total debt principal $ 1,000  
2.125% senior notes due 2021    
Borrowings and Credit Agreements    
Total debt principal $ 1,750 1,750
Interest rate, stated percentage 2.125%  
4.125% senior notes due 2021    
Borrowings and Credit Agreements    
Total debt principal $ 550 550
Interest rate, stated percentage 4.125%  
3.35% senior notes due 2021    
Borrowings and Credit Agreements    
Total debt principal $ 3,000  
Interest rate, stated percentage 3.35%  
Floating rate notes due 2021    
Borrowings and Credit Agreements    
Total debt principal $ 1,000  
2.75% senior notes due 2022    
Borrowings and Credit Agreements    
Total debt principal $ 1,250 1,250
Interest rate, stated percentage 2.75%  
3.5% senior notes due 2022    
Borrowings and Credit Agreements    
Total debt principal $ 1,500 1,500
Interest rate, stated percentage 3.50%  
4.75% senior notes due 2022    
Borrowings and Credit Agreements    
Total debt principal $ 399 399
Interest rate, stated percentage 4.75%  
4% senior notes due 2023    
Borrowings and Credit Agreements    
Total debt principal $ 1,250 1,250
Interest rate, stated percentage 4.00%  
3.7% senior notes due 2023    
Borrowings and Credit Agreements    
Total debt principal $ 6,000  
Interest rate, stated percentage 3.70%  
3.375% senior notes due 2024    
Borrowings and Credit Agreements    
Total debt principal $ 650 650
Interest rate, stated percentage 3.375%  
5% senior notes due 2024    
Borrowings and Credit Agreements    
Total debt principal $ 299 299
Interest rate, stated percentage 5.00%  
3.875% senior notes due 2025    
Borrowings and Credit Agreements    
Total debt principal $ 2,828 2,828
Interest rate, stated percentage 3.875%  
4.1% senior notes due 2025    
Borrowings and Credit Agreements    
Total debt principal $ 5,000  
Interest rate, stated percentage 4.10%  
2.875% senior notes due 2026    
Borrowings and Credit Agreements    
Total debt principal $ 1,750 1,750
Interest rate, stated percentage 2.875%  
6.25% senior notes due 2027    
Borrowings and Credit Agreements    
Total debt principal $ 372 372
Interest rate, stated percentage 6.25%  
4.3% senior notes due 2028    
Borrowings and Credit Agreements    
Total debt principal $ 9,000  
Interest rate, stated percentage 4.30%  
3.25% senior exchange debentures due 2035    
Borrowings and Credit Agreements    
Total debt principal   $ 1
Interest rate, stated percentage   3.25%
4.875% senior notes due 2035    
Borrowings and Credit Agreements    
Total debt principal $ 652 $ 652
Interest rate, stated percentage 4.875%  
4.78% senior notes due 2038    
Borrowings and Credit Agreements    
Total debt principal $ 5,000  
Interest rate, stated percentage 4.78%  
6.125% senior notes due 2039    
Borrowings and Credit Agreements    
Total debt principal $ 447 447
Interest rate, stated percentage 6.125%  
5.75% senior notes due 2041    
Borrowings and Credit Agreements    
Total debt principal $ 133 133
Interest rate, stated percentage 5.75%  
5.3% senior notes due 2043    
Borrowings and Credit Agreements    
Total debt principal $ 750 750
Interest rate, stated percentage 5.30%  
5.125% senior notes due 2045    
Borrowings and Credit Agreements    
Total debt principal $ 3,500 3,500
Interest rate, stated percentage 5.125%  
5.05% senior notes due 2048    
Borrowings and Credit Agreements    
Total debt principal $ 8,000  
Interest rate, stated percentage 5.05%  
Capital lease obligation    
Borrowings and Credit Agreements    
Total debt principal $ 672 670
Other    
Borrowings and Credit Agreements    
Total debt principal 18 43
Commercial Paper    
Borrowings and Credit Agreements    
Total debt principal $ 0 $ 1,276