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Financial Instruments and Fair Value Measures - Financial Instruments (Details)
SFr in Millions, $ in Millions, € in Billions, kr in Billions
6 Months Ended
Jun. 30, 2023
USD ($)
Jun. 30, 2022
USD ($)
Jun. 30, 2023
EUR (€)
Jun. 30, 2023
SEK (kr)
Jun. 30, 2023
CAD ($)
Jun. 30, 2023
CHF (SFr)
Dec. 31, 2022
USD ($)
Dec. 31, 2022
EUR (€)
Dec. 31, 2022
SEK (kr)
Dec. 31, 2022
CAD ($)
Dec. 31, 2022
CHF (SFr)
Dec. 31, 2019
USD ($)
Derivative instruments, notional amount and fair value                        
Amount excluded from the assessment of effectiveness for cash flow hedges $ 0 $ 0                    
Amount excluded from the assessment of effectiveness for fair value hedges 0 $ 0                    
Fair value - Derivatives in asset position 112,000,000           $ 163,000,000          
Fair value - Derivatives in liability position 542,000,000           524,000,000          
Designated as hedging instrument | Net investment hedges | Senior notes                        
Derivative instruments, notional amount and fair value                        
Principal amount of unsecured senior notes | €     € 5.4         € 5.9        
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges                        
Derivative instruments, notional amount and fair value                        
Notional amount of derivative instruments $ 2,200,000,000           1,700,000,000          
Duration of forward exchange contracts 18 months                      
Approximate length of time over which accumulated gains and losses will be recognized in Cost of products sold 6 months                      
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Prepaid expenses and other                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in asset position $ 32,000,000           49,000,000          
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Accounts payable and accrued liabilities                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in liability position 9,000,000           8,000,000          
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Other assets                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in asset position 1,000,000           1,000,000          
Designated as hedging instrument | Foreign currency forward exchange contracts | Cash flow hedges | Other long-term liabilities                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in liability position 1,000,000           0          
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges                        
Derivative instruments, notional amount and fair value                        
Notional amount of derivative instruments     € 4.2 kr 1.4 $ 750 SFr 50   € 4.3 kr 2.0 $ 750 SFr 90  
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Prepaid expenses and other                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in asset position 3,000,000           6,000,000          
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Accounts payable and accrued liabilities                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in liability position 80,000,000           36,000,000          
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Other assets                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in asset position 23,000,000           74,000,000          
Designated as hedging instrument | Foreign currency forward exchange contracts | Net investment hedges | Other long-term liabilities                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in liability position 33,000,000           47,000,000          
Designated as hedging instrument | Treasury rate lock agreements | Cash flow hedges                        
Derivative instruments, notional amount and fair value                        
Notional amount of derivative instruments                       $ 10,000,000,000
Designated as hedging instrument | Cross-currency swap contracts | Cash flow hedges                        
Derivative instruments, notional amount and fair value                        
Notional amount of derivative instruments 433,000,000                      
Designated as hedging instrument | Cross-currency swap contracts | Cash flow hedges | Prepaid expenses and other                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in asset position 9,000,000           0          
Designated as hedging instrument | Cross-currency swap contracts | Cash flow hedges | Accounts payable and accrued liabilities                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in liability position 0           0          
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges                        
Derivative instruments, notional amount and fair value                        
Notional amount of derivative instruments 5,000,000,000           4,500,000,000          
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Prepaid expenses and other                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in asset position 0           0          
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Accounts payable and accrued liabilities                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in liability position 1,000,000           17,000,000          
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Other assets                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in asset position 0           0          
Designated as hedging instrument | Interest rate swap contracts | Fair value hedges | Other long-term liabilities                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in liability position 377,000,000           375,000,000          
Not designated as hedging instrument | Foreign currency forward exchange contracts                        
Derivative instruments, notional amount and fair value                        
Notional amount of derivative instruments 10,700,000,000           6,500,000,000          
Not designated as hedging instrument | Foreign currency forward exchange contracts | Prepaid expenses and other                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in asset position 44,000,000           33,000,000          
Not designated as hedging instrument | Foreign currency forward exchange contracts | Accounts payable and accrued liabilities                        
Derivative instruments, notional amount and fair value                        
Fair value - Derivatives in liability position $ 41,000,000           $ 41,000,000