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Debt - Long Term Debt (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Debt Instrument [Line Items]    
Total debt $ 15,312 $ 15,498
Commercial paper 600 0
Less: unamortized discounts and issuance costs (1,208) (1,235)
Total debt, net 14,104 14,263
Less: current portion (1,500) (750)
Long-term debt, net $ 12,604 $ 13,513
1.85% due 2018    
Debt Instrument [Line Items]    
Interest rate 1.85% 1.85%
Long-term debt maturity year 2018  
Total debt $ 0 $ 750
4.25% due 2019    
Debt Instrument [Line Items]    
Interest rate 4.25%  
Long-term debt maturity year 2019  
Total debt $ 900 900
2.50% due 2020    
Debt Instrument [Line Items]    
Interest rate 2.50%  
Long-term debt maturity year 2020  
Total debt $ 1,250 1,250
3.35% due 2021    
Debt Instrument [Line Items]    
Interest rate 3.35%  
Long-term debt maturity year 2021  
Total debt $ 900 900
3.10% due 2023    
Debt Instrument [Line Items]    
Interest rate 3.10%  
Long-term debt maturity year 2023  
Total debt $ 500 500
2.90% due 2025    
Debt Instrument [Line Items]    
Interest rate 2.90%  
Long-term debt maturity year 2025  
Total debt $ 750 750
3.55% due 2026    
Debt Instrument [Line Items]    
Interest rate 3.55%  
Long-term debt maturity year 2026  
Total debt $ 2,000 2,000
3.60% due 2035    
Debt Instrument [Line Items]    
Interest rate 3.60%  
Long-term debt maturity year 2035  
Total debt $ 500 500
4.50% and 6.15% due 2036    
Debt Instrument [Line Items]    
Long-term debt maturity year 2036  
Total debt $ 1,054 1,054
4.50% and 6.15% due 2036 | Minimum    
Debt Instrument [Line Items]    
Interest rate 4.50%  
4.50% and 6.15% due 2036 | Maximum    
Debt Instrument [Line Items]    
Interest rate 6.15%  
4.07% due 2042    
Debt Instrument [Line Items]    
Interest rate 4.07%  
Long-term debt maturity year 2042  
Total debt $ 1,336 1,336
3.80% due 2045    
Debt Instrument [Line Items]    
Interest rate 3.80%  
Long-term debt maturity year 2045  
Total debt $ 1,000 1,000
4.70% due 2046    
Debt Instrument [Line Items]    
Interest rate 4.70%  
Long-term debt maturity year 2046  
Total debt $ 1,326 1,326
4.09% due 2052    
Debt Instrument [Line Items]    
Interest rate 4.09%  
Long-term debt maturity year 2052  
Total debt $ 1,578 1,578
Other notes with rates from 4.85% to 8.50%, due 2023 to 2041    
Debt Instrument [Line Items]    
Total debt $ 1,618 $ 1,654
Other notes with rates from 4.85% to 8.50%, due 2023 to 2041 | Minimum    
Debt Instrument [Line Items]    
Interest rate 4.85%  
Long-term debt maturity year 2023  
Other notes with rates from 4.85% to 8.50%, due 2023 to 2041 | Maximum    
Debt Instrument [Line Items]    
Interest rate 8.50%  
Long-term debt maturity year 2041