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Income Taxes (Narrative) (Details) $ / shares in Units, $ in Millions, kr in Billions | 3 Months Ended | 12 Months Ended |
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Dec. 31, 2022 USD ($) | Apr. 02, 2021 USD ($) | Apr. 02, 2021 DKK (kr) | Dec. 31, 2023 USD ($) $ / shares | Dec. 31, 2022 USD ($) $ / shares | Dec. 31, 2021 USD ($) $ / shares | Dec. 31, 2020 USD ($)
Net deferred tax liabilities | $ 2,958 |  |  | $ 2,192 | $ 2,958 |  |
Valuation allowance, deferred tax asset, change in amount |  |  |  | 2 |  |  |
Basis differences in investments outside the U.S. |  |  |  | $ 14,500 |  |  |
Statutory federal income tax rate |  |  |  | 21.00% | 21.00% | 21.00% |
Effective income tax rate |  |  |  | 16.30% | 11.40% | 16.30% |
Effective income tax rate reconciliation, other reconciling items, percent |  |  |  | 0.90% | 7.00% | 3.00% |
Income tax payments |  |  |  | $ 1,800 | $ 1,800 | $ 1,700 |
Employee service share-based compensation, tax benefit from exercise of stock options |  |  |  | 80 | 85 | 118 |
Tax benefit |  |  |  | 51 | 61 | 95 |
Net operating loss carryforwards |  |  |  | 284 |  |  |
Operating loss carryforwards, valuation allowances |  |  |  | 154 |  |  |
Deferred tax assets, valuation allowances | 236 |  |  | 234 | 236 |  |
Gross unrecognized tax benefits | 1,139 |  |  | 1,214 | 1,139 | 1,095 | $ 1,175
Unrecognized tax benefits, net of offsetting indirect tax benefits | 1,200 |  |  | 1,300 | 1,200 |  |
Unrecognized tax benefits, indirect tax benefits | 65 |  |  | 73 | 65 |  |
Potential interest and penalties | 171 |  |  | 199 | 171 |  |
Recognized potential interest and penalties |  |  |  | 32 | 14 | $ (182) |
Unrecognized tax benefits that would impact effective tax rate | 1,200 |  |  | 1,300 | $ 1,200 |  |
Estimated reduction in unrecognized tax benefits within twelve months |  |  |  | $ 352 |  |  |
Income tax holiday, income tax benefits per diluted common share | $ / shares |  |  |  | $ 0.11 | $ 0.10 | $ 0.08 |
General business and foreign tax credit |  |  |  |  |  |  |
Tax credit carryforwards |  |  |  | $ 273 |  |  |
Tax credit carryforward, valuation allowance |  |  |  | 75 |  |  |
Deferred tax asset, other |  |  |  |  |  |  |
Deferred tax assets, valuation allowances |  |  |  | 5 |  |  |
Domestic tax authority | IRS |  |  |  |  |  |  |
Proposed adjustments to taxable income, self-insurance, other | 2,500 |  |  |  |  |  |
Foreign tax authority |  |  |  |  |  |  |
Income tax examination, amount of tax assessments 2010-2015 |  | $ 307 | kr 2.1 |  |  |  |
Income tax holiday, aggregate dollar amount |  |  |  | 83 | $ 71 | $ 59 |
United States |  |  |  |  |  |  |
Net deferred tax liabilities | 1,900 |  |  | 832 | 1,900 |  |
Non-U.S. |  |  |  |  |  |  |
Net deferred tax liabilities | 1,100 |  |  | 1,400 | 1,100 |  |
Discontinued operations |  |  |  |  |  |  |
Discontinued operation, deferred tax assets | 240 |  |  |  | 240 |  |
Discontinued operations, deferred tax liabilities | 298 |  |  |  | 298 |  |
Discontinued operations | Discontinued operations |  |  |  |  |  |  |
Net deferred tax liabilities | 58 |  |  |  | 58 |  |
Unrecognized tax benefits, net of offsetting indirect tax benefits | 76 |  |  |  | 76 |  |
Recognized potential interest and penalties |  |  |  | $ 6 | 2 | $ (9) |
Unrecognized tax benefits that would impact effective tax rate | 76 |  |  |  | 76 |  |
Discontinued operations | Discontinued operations | United States |  |  |  |  |  |  |
Net deferred tax liabilities | 66 |  |  |  | 66 |  |
Discontinued operations | Discontinued operations | Non-U.S. |  |  |  |  |  |  |
Deferred tax assets, net | $ 8 |  |  |  | $ 8 |  |

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