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Goodwill and Intangible Assets Gross carrying value, accumulated amortization and net carrying value of intangible assets (Details) - USD ($)
$ in Millions
Dec. 31, 2023
Dec. 31, 2022
Intangible Assets [Line Items]    
Intangible Assets, Gross (Excluding Goodwill) $ 22,473 $ 20,538
Intangible Assets, Accumulated Amortization (7,279) (6,137)
Intangible Assets, Net (Excluding Goodwill) 15,194 14,401
Customer-Related Intangible Assets [Member]    
Intangible Assets [Line Items]    
Intangible Assets, Gross (Excluding Goodwill) 16,636 16,303
Intangible Assets, Accumulated Amortization (5,909) (5,179)
Intangible Assets, Net (Excluding Goodwill) 10,727 11,124
Trademarks and Technology [Member]    
Intangible Assets [Line Items]    
Intangible Assets, Gross (Excluding Goodwill) 2,508 2,398
Intangible Assets, Accumulated Amortization (958) (704)
Intangible Assets, Net (Excluding Goodwill) 1,550 1,694
Operating licenses and certificates, trademarks, and other indefinite-lived [Member]    
Intangible Assets [Line Items]    
Intangible Assets, Gross (Excluding Goodwill) 2,116 661
Intangible Assets, Accumulated Amortization 0 0
Intangible Assets, Net (Excluding Goodwill) 2,116 661
Other Intangible Assets [Member]    
Intangible Assets [Line Items]    
Intangible Assets, Gross (Excluding Goodwill) 1,213 1,176
Intangible Assets, Accumulated Amortization (412) (254)
Intangible Assets, Net (Excluding Goodwill) $ 801 $ 922