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Segment and Geographic Area Information - Sales and Earnings (Details) - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Segment Information      
Net Sales to External Customers $ 34,608 $ 31,904 $ 30,578
Operating Earnings 5,357 4,532 3,650
Established Pharmaceutical Products      
Segment Information      
Net Sales to External Customers 4,303 4,486 4,422
Nutritional Products      
Segment Information      
Net Sales to External Customers 7,647 7,409 7,229
Diagnostic Products      
Segment Information      
Net Sales to External Customers 10,805 7,713 7,495
Medical Devices      
Segment Information      
Net Sales to External Customers 11,787 12,239 11,370
Other      
Segment Information      
Net Sales to External Customers 66 57 62
Total Reportable Segment Operating Earnings      
Segment Information      
Net Sales to External Customers 34,542 31,847 30,516
Operating Earnings 9,308 8,290 7,914
Total Reportable Segment Operating Earnings | Established Pharmaceutical Products      
Segment Information      
Net Sales to External Customers 4,303 4,486 4,422
Operating Earnings 794 904 894
Total Reportable Segment Operating Earnings | Nutritional Products      
Segment Information      
Net Sales to External Customers 7,647 7,409 7,229
Operating Earnings 1,751 1,705 1,652
Total Reportable Segment Operating Earnings | Diagnostic Products      
Segment Information      
Net Sales to External Customers 10,805 7,713 7,495
Operating Earnings 3,725 1,912 1,868
Total Reportable Segment Operating Earnings | Medical Devices      
Segment Information      
Net Sales to External Customers 11,787 12,239 11,370
Operating Earnings $ 3,038 $ 3,769 $ 3,500