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Income Taxes (Narrative) (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Income Tax Disclosure [Abstract]        
Income tax expense $ 282 $ 372 $ 1,200 $ 1,228
Effective tax rate 22.70% 33.20% 26.50% 32.00%
Health Insurance Provider Fee, nondeductible expense $ 76   $ 243