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Debt and Lines of Credit - Narrative (Details)
€ in Millions, $ in Millions
1 Months Ended
Jan. 29, 2024
USD ($)
Nov. 30, 2023
USD ($)
Sep. 27, 2023
USD ($)
Sep. 27, 2023
EUR (€)
Mar. 15, 2022
USD ($)
Nov. 12, 2020
USD ($)
Sep. 30, 2023
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Debt Instrument [Line Items]                    
Repayment of short-term facility               $ 195    
Short-term borrowings               $ 0    
Outstanding borrowings                 $ 14,679 $ 16,773
Principal payments required, year one                 1,100  
Principal payments required, year two                 1,500  
Principal payments required, year three                 3,000  
Principal payments required, year four                 656  
Principal payments required, year five                 651  
Principal payments required, after year five                 $ 8,000  
Bigfoot Biomedical                    
Debt Instrument [Line Items]                    
Repayments of debt             $ 197      
3.40% Notes, due 2023                    
Debt Instrument [Line Items]                    
Repayments of debt   $ 1,050                
Interest rate percentage   3.40%             3.40%  
0.875% Notes, due 2023                    
Debt Instrument [Line Items]                    
Repayments of debt     $ 1,200 € 1,140            
Interest rate percentage     0.875% 0.875%         0.875%  
2.55% Notes, due 2022                    
Debt Instrument [Line Items]                    
Repayments of debt         $ 750          
Interest rate percentage         2.55%          
2020 Five Year Credit Agreement | Line of Credit                    
Debt Instrument [Line Items]                    
Maximum borrowing capacity           $ 5,000        
Credit agreement term           5 years        
2020 Five Year Credit Agreement | Line of Credit | Subsequent Event                    
Debt Instrument [Line Items]                    
Outstanding borrowings $ 0                  
2024 Five Year Credit Agreement | Revolving Credit Facility | Subsequent Event                    
Debt Instrument [Line Items]                    
Credit agreement term 5 years