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Segment and Geographic Area Information - Geographic Information (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
Long-lived assets 11,700 10,200  
U.S.      
Segment Information      
Net Sales to External Customers 13,022 11,398 10,839
Long-lived assets 6,100 5,100  
Germany      
Segment Information      
Net Sales to External Customers 2,108 1,751 1,619
China      
Segment Information      
Net Sales to External Customers 1,965 2,346 2,311
Japan      
Segment Information      
Net Sales to External Customers 1,386 1,435 1,326
India      
Segment Information      
Net Sales to External Customers 1,323 1,397 1,333
Switzerland      
Segment Information      
Net Sales to External Customers 1,140 1,068 1,005
The Netherlands      
Segment Information      
Net Sales to External Customers 1,084 975 930
All Other Countries      
Segment Information      
Net Sales to External Customers $ 12,580 $ 11,534 $ 11,215