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Fair Value Measurements - Summary of assets and liabilities recorded at fair value (Details) - USD ($)
$ in Millions
Dec. 31, 2020
Dec. 31, 2019
Assets    
Available-for-sale debt securities $ 2,026 $ 16,500
Total 6,970 11,039
Fair value, recurring | Fair value    
Assets    
Total 9,008 27,576
Liabilities    
Total 339 179
Fair value, recurring | Fair value | U.S. treasury securities    
Assets    
Available-for-sale debt securities 309 2,433
Fair value, recurring | Fair value | Certificates of deposit    
Assets    
Available-for-sale debt securities 216 3,517
Fair value, recurring | Fair value | U.S. government agencies securities    
Assets    
Available-for-sale debt securities 0 1,081
Fair value, recurring | Fair value | Non-U.S. government securities    
Assets    
Available-for-sale debt securities 43 174
Fair value, recurring | Fair value | Corporate debt securities    
Assets    
Available-for-sale debt securities 1,142 9,204
Fair value, recurring | Fair value | Residential mortgage and asset-backed securities    
Assets    
Available-for-sale debt securities 316 91
Fair value, recurring | Fair value | Equity investment in Galapagos    
Assets    
Marketable equity securities 1,648 3,477
Fair value, recurring | Fair value | Money market funds    
Assets    
Marketable equity securities 4,361 7,069
Fair value, recurring | Fair value | Other publicly traded equity securities    
Assets    
Marketable equity securities 743 322
Fair value, recurring | Fair value | Deferred compensation plan    
Assets    
Marketable equity securities 218 171
Liabilities    
Deferred compensation plan 218 171
Fair value, recurring | Fair value | Foreign currency derivative contracts    
Assets    
Foreign currency derivative contracts 12 37
Liabilities    
Foreign currency derivative contracts 121 8
Fair value, recurring | Level 1    
Assets    
Total 7,279 13,472
Liabilities    
Total 218 171
Fair value, recurring | Level 1 | U.S. treasury securities    
Assets    
Available-for-sale debt securities 309 2,433
Fair value, recurring | Level 1 | Certificates of deposit    
Assets    
Available-for-sale debt securities 0 0
Fair value, recurring | Level 1 | U.S. government agencies securities    
Assets    
Available-for-sale debt securities 0 0
Fair value, recurring | Level 1 | Non-U.S. government securities    
Assets    
Available-for-sale debt securities 0 0
Fair value, recurring | Level 1 | Corporate debt securities    
Assets    
Available-for-sale debt securities 0 0
Fair value, recurring | Level 1 | Residential mortgage and asset-backed securities    
Assets    
Available-for-sale debt securities 0 0
Fair value, recurring | Level 1 | Equity investment in Galapagos    
Assets    
Marketable equity securities 1,648 3,477
Fair value, recurring | Level 1 | Money market funds    
Assets    
Marketable equity securities 4,361 7,069
Fair value, recurring | Level 1 | Other publicly traded equity securities    
Assets    
Marketable equity securities 743 322
Fair value, recurring | Level 1 | Deferred compensation plan    
Assets    
Marketable equity securities 218 171
Liabilities    
Deferred compensation plan 218 171
Fair value, recurring | Level 1 | Foreign currency derivative contracts    
Assets    
Foreign currency derivative contracts 0 0
Liabilities    
Foreign currency derivative contracts 0 0
Fair value, recurring | Level 2    
Assets    
Total 1,729 14,104
Liabilities    
Total 121 8
Fair value, recurring | Level 2 | U.S. treasury securities    
Assets    
Available-for-sale debt securities 0 0
Fair value, recurring | Level 2 | Certificates of deposit    
Assets    
Available-for-sale debt securities 216 3,517
Fair value, recurring | Level 2 | U.S. government agencies securities    
Assets    
Available-for-sale debt securities 0 1,081
Fair value, recurring | Level 2 | Non-U.S. government securities    
Assets    
Available-for-sale debt securities 43 174
Fair value, recurring | Level 2 | Corporate debt securities    
Assets    
Available-for-sale debt securities 1,142 9,204
Fair value, recurring | Level 2 | Residential mortgage and asset-backed securities    
Assets    
Available-for-sale debt securities 316 91
Fair value, recurring | Level 2 | Equity investment in Galapagos    
Assets    
Marketable equity securities 0 0
Fair value, recurring | Level 2 | Money market funds    
Assets    
Marketable equity securities 0 0
Fair value, recurring | Level 2 | Other publicly traded equity securities    
Assets    
Marketable equity securities 0 0
Fair value, recurring | Level 2 | Deferred compensation plan    
Assets    
Marketable equity securities 0 0
Liabilities    
Deferred compensation plan 0 0
Fair value, recurring | Level 2 | Foreign currency derivative contracts    
Assets    
Foreign currency derivative contracts 12 37
Liabilities    
Foreign currency derivative contracts 121 8
Fair value, recurring | Level 3    
Assets    
Total 0 0
Liabilities    
Total 0 0
Fair value, recurring | Level 3 | U.S. treasury securities    
Assets    
Available-for-sale debt securities 0 0
Fair value, recurring | Level 3 | Certificates of deposit    
Assets    
Available-for-sale debt securities 0 0
Fair value, recurring | Level 3 | U.S. government agencies securities    
Assets    
Available-for-sale debt securities 0 0
Fair value, recurring | Level 3 | Non-U.S. government securities    
Assets    
Available-for-sale debt securities 0 0
Fair value, recurring | Level 3 | Corporate debt securities    
Assets    
Available-for-sale debt securities 0 0
Fair value, recurring | Level 3 | Residential mortgage and asset-backed securities    
Assets    
Available-for-sale debt securities 0 0
Fair value, recurring | Level 3 | Equity investment in Galapagos    
Assets    
Marketable equity securities 0 0
Fair value, recurring | Level 3 | Money market funds    
Assets    
Marketable equity securities 0 0
Fair value, recurring | Level 3 | Other publicly traded equity securities    
Assets    
Marketable equity securities 0 0
Fair value, recurring | Level 3 | Deferred compensation plan    
Assets    
Marketable equity securities 0 0
Liabilities    
Deferred compensation plan 0 0
Fair value, recurring | Level 3 | Foreign currency derivative contracts    
Assets    
Foreign currency derivative contracts 0 0
Liabilities    
Foreign currency derivative contracts $ 0 $ 0