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Goodwill and Intangible Assets - Goodwill (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Goodwill and Intangible Assets    
Goodwill $ 23,744 $ 23,195
Increase (decrease) in goodwill due to foreign currency translation adjustments 550 (103)
Amount of reductions of goodwill relating to impairments 0 $ 0
Established Pharmaceutical Products    
Goodwill and Intangible Assets    
Goodwill 3,000  
Nutritional Products    
Goodwill and Intangible Assets    
Goodwill 286  
Diagnostic Products    
Goodwill and Intangible Assets    
Goodwill 3,800  
Medical Devices    
Goodwill and Intangible Assets    
Goodwill $ 16,600