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Segment Information (Segment and Geographic Information) (Detail) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Segment Reporting Information [Line Items]        
Total revenues $ 5,754.6 $ 6,424.1 $ 17,480.2 $ 18,593.0
Operating Income 3,079.4 2,137.3 7,408.5 5,775.5
U.S.        
Segment Reporting Information [Line Items]        
Total revenues 2,023.3 2,072.5 6,000.7 6,215.2
Operating Income 1,034.6 977.5 3,055.4 2,836.6
International Lead Markets        
Segment Reporting Information [Line Items]        
Total revenues 1,970.5 1,881.2 5,427.2 5,452.5
Operating Income 913.6 754.1 2,356.2 2,127.2
High Growth Markets        
Segment Reporting Information [Line Items]        
Total revenues 1,322.1 1,651.3 4,538.5 4,644.1
Operating Income 1,073.8 320.1 1,724.0 814.7
Foundational Markets and Corporate        
Segment Reporting Information [Line Items]        
Total revenues 438.7 819.1 1,513.8 2,281.2
Operating Income $ 57.4 $ 85.6 $ 272.9 $ (3.0)