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Income Taxes (Narrative) (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Income Tax Disclosure [Abstract]        
Income tax expense $ 314 $ 450 $ 708 $ 918
Effective tax rate 21.60% 29.90% 20.80% 28.00%
Health Insurance Provider Fee, nondeductible expense   $ 84   $ 167