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Investments - Narrative: Equity Securities (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Debt Securities, Available-for-sale [Line Items]          
Equity Securities, FV-NI, Unrealized Gain (Loss) $ (49) $ 17 $ (41) $ (259)  
Equity Securities, FV-NI, Noncurrent 4,250   4,250   $ 815
Adjustments for equity method investments     (17) 713  
Equity Securities without Readily Determinable Fair Value, Downward Price Adjustment, Annual Amount   55   64  
BeiGene          
Debt Securities, Available-for-sale [Line Items]          
Equity Securities, FV-NI, Unrealized Gain (Loss) 30   1,200    
Carrying value of equity method investment         2,200
Adjustments for equity method investments   104   292  
Amortization of the basis difference   $ 48   $ 143  
Other Noncurrent Assets          
Debt Securities, Available-for-sale [Line Items]          
Equity Securities, FV-NI, Noncurrent 344   344   480
Equity securities without readily determinable fair value 293   293   233
Other Noncurrent Assets | BeiGene          
Debt Securities, Available-for-sale [Line Items]          
Carrying value of equity method investment         $ 2,200
BeiGene          
Debt Securities, Available-for-sale [Line Items]          
Ownership percentage         18.20%
BeiGene | Other Noncurrent Assets          
Debt Securities, Available-for-sale [Line Items]          
Equity Securities, FV-NI, Noncurrent $ 3,400   $ 3,400