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Stock Compensation - Exercise Price Range (Details) - Employee Stock Option - Long-term incentive and director compensation plans - $ / shares
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]    
Exercise Price Range, Minimum $ 14.47  
Exercise Price Range, Maximum $ 97.29  
Number Outstanding (Shares) 44,754,593 52,265,788
Weighted Average Remaining Contractual Life (Years) 6 years 4 months 24 days  
Options Outstanding Weighted Average Exercise Price per Share $ 48.49 $ 41.89
Number Exercisable (Shares) 22,114,114  
Options Exercisable Weighted Average Exercise Price per Share $ 37.34  
Range Of Exercise Prices $14.47 to $20.00    
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]    
Exercise Price Range, Minimum 14.47  
Exercise Price Range, Maximum $ 20.00  
Number Outstanding (Shares) 1,230,810  
Weighted Average Remaining Contractual Life (Years) 1 year 1 month 6 days  
Options Outstanding Weighted Average Exercise Price per Share $ 14.97  
Number Exercisable (Shares) 1,230,810  
Options Exercisable Weighted Average Exercise Price per Share $ 14.97  
Range Of Exercise Prices $20.01 to $30.00    
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]    
Exercise Price Range, Minimum 20.01  
Exercise Price Range, Maximum $ 30.00  
Number Outstanding (Shares) 2,559,613  
Weighted Average Remaining Contractual Life (Years) 1 year 10 months 24 days  
Options Outstanding Weighted Average Exercise Price per Share $ 23.86  
Number Exercisable (Shares) 2,559,613  
Options Exercisable Weighted Average Exercise Price per Share $ 23.86  
Range Of Exercise Prices $30.01 to $40.00    
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]    
Exercise Price Range, Minimum 30.01  
Exercise Price Range, Maximum $ 40.00  
Number Outstanding (Shares) 9,441,380  
Weighted Average Remaining Contractual Life (Years) 4 years 3 months 18 days  
Options Outstanding Weighted Average Exercise Price per Share $ 33.02  
Number Exercisable (Shares) 9,441,380  
Options Exercisable Weighted Average Exercise Price per Share $ 33.02  
Range Of Exercise Prices $40.01 to $50.00    
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]    
Exercise Price Range, Minimum 40.01  
Exercise Price Range, Maximum $ 50.00  
Number Outstanding (Shares) 7,466,229  
Weighted Average Remaining Contractual Life (Years) 6 years 1 month 6 days  
Options Outstanding Weighted Average Exercise Price per Share $ 44.10  
Number Exercisable (Shares) 4,403,409  
Options Exercisable Weighted Average Exercise Price per Share $ 44.10  
Range Of Exercise Prices $50.01 to $60.00    
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]    
Exercise Price Range, Minimum 50.01  
Exercise Price Range, Maximum $ 60.00  
Number Outstanding (Shares) 17,689,385  
Weighted Average Remaining Contractual Life (Years) 7 years 7 months 6 days  
Options Outstanding Weighted Average Exercise Price per Share $ 53.42  
Number Exercisable (Shares) 4,472,432  
Options Exercisable Weighted Average Exercise Price per Share $ 53.61  
Range Of Exercise Prices $60.01 to 70.00    
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]    
Exercise Price Range, Minimum 60.01  
Exercise Price Range, Maximum $ 70.00  
Number Outstanding (Shares) 0  
Weighted Average Remaining Contractual Life (Years) 0 years  
Options Outstanding Weighted Average Exercise Price per Share $ 0  
Number Exercisable (Shares) 0  
Options Exercisable Weighted Average Exercise Price per Share $ 0  
Range Of Exercise Prices $70.01 to 80.00    
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]    
Exercise Price Range, Minimum 70.01  
Exercise Price Range, Maximum $ 80.00  
Number Outstanding (Shares) 6,347,174  
Weighted Average Remaining Contractual Life (Years) 9 years 1 month 6 days  
Options Outstanding Weighted Average Exercise Price per Share $ 79.19  
Number Exercisable (Shares) 6,470  
Options Exercisable Weighted Average Exercise Price per Share $ 71.03  
Range Of Exercise Prices $80.01 to 97.29    
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]    
Exercise Price Range, Minimum 80.01  
Exercise Price Range, Maximum $ 97.29  
Number Outstanding (Shares) 20,002  
Weighted Average Remaining Contractual Life (Years) 9 years 8 months 12 days  
Options Outstanding Weighted Average Exercise Price per Share $ 88.81  
Number Exercisable (Shares) 0  
Options Exercisable Weighted Average Exercise Price per Share $ 0