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Segment Information (Segment and Geographic Information) (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Segment Reporting Information [Line Items]        
Total revenues $ 5,369.4 $ 5,754.6 $ 15,862.2 $ 17,480.2
Operating Income 2,417.7 3,079.4 6,823.1 7,408.5
United States        
Segment Reporting Information [Line Items]        
Total revenues 1,930.0 2,023.3 5,758.4 6,000.7
Operating Income 1,061.8 1,034.6 3,059.0 3,055.4
International Lead Markets        
Segment Reporting Information [Line Items]        
Total revenues 1,940.5 1,970.5 5,748.9 5,427.2
Operating Income 913.9 913.6 2,613.5 2,356.2
High Growth Markets        
Segment Reporting Information [Line Items]        
Total revenues 1,040.2 1,322.1 3,026.4 4,538.5
Operating Income 330.1 1,073.8 847.1 1,724.0
Foundational Markets and Corporate        
Segment Reporting Information [Line Items]        
Total revenues 458.7 438.7 1,328.5 1,513.8
Operating Income $ 111.9 $ 57.4 $ 303.5 $ 272.9