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Weighted Average Shares Outstanding (Details) - shares
shares in Millions
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Weighted average shares outstanding      
Weighted average shares outstanding - basic 1,381.0 1,370.1 1,357.6
Net effect of common stock equivalents 20.4 22.6 19.6
Weighted average shares outstanding - assuming dilution 1,401.4 1,392.7 1,377.2