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Commitments and Contingencies (Narrative) (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Dec. 31, 2017
Commitments and Contingencies Disclosure [Abstract]          
Lease and rental expense $ 49.4 $ 41.7 $ 136.9 $ 126.7  
Irrevocable standby letters of credit and guarantees 249.5   249.5   $ 224.8
Clinical Testing          
Other Commitments [Line Items]          
Commitment amount 1,451.3   1,451.3   1,409.9
Contract Manufacturing          
Other Commitments [Line Items]          
Commitment amount 910.8   910.8   467.2
Commitments expected to be paid in next year 169.5   169.5    
Other Purchasing Commitment          
Other Commitments [Line Items]          
Commitment amount 1,363.0   1,363.0   1,692.5
Commitments expected to be paid in next year 839.4   839.4    
Investment Commitment          
Other Commitments [Line Items]          
Commitment amount 48.0   48.0   48.9
Capital Commitment          
Other Commitments [Line Items]          
Commitment amount $ 348.8   $ 348.8   $ 328.2