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Note 25 Medical benefits commitments (Details) - EUR (€) € in Millions | 12 Months Ended
--- | ---
Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments |  | € 1,562 | € 1,580 |
Medical benefits commitments |  | 1,377 | 1,562 | € 1,580
Present value of defined benefit obligation [member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments |  | 1,562 | 1,580 | 1,114
Medical benefits commitments |  | 1,377 | 1,562 | 1,580
Present value of defined benefit obligation [member] | Current service cost [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 24 | 21 | 21
Present value of defined benefit obligation [member] | Interest income or expense [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 131 | 117 | 119
Present value of defined benefit obligation [member] | Contributions by plan participants [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | 0
Present value of defined benefit obligation [member] | Employer contributions [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | 0
Present value of defined benefit obligation [member] | Past service cost [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year | [1] | (5) | (8) | 0
Present value of defined benefit obligation [member] | Remeasurements [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (377) | 95 | 298
Present value of defined benefit obligation [member] | Return of plan assets [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year | [2] | 0 | 0 | 0
Present value of defined benefit obligation [member] | From changes in demographic assumptions [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (115) | 0 | 0
Present value of defined benefit obligation [member] | From changes in financial assumptions [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (257) | 110 | 311
Present value of defined benefit obligation [member] | Other actuarial gains and losses [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (4) | (15) | (13)
Present value of defined benefit obligation [member] | Benefit payments [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (49) | (37) | (39)
Present value of defined benefit obligation [member] | Settlements payments [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | 0
Present value of defined benefit obligation [member] | Business combinations [member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | 0
Present value of defined benefit obligation [member] | Effect on changes in foreign exchange rates [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 90 | (207) | 68
Present value of defined benefit obligation [member] | Other effects Post employment commitments [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | (1)
Plan assets [member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments |  | 1,484 | 1,532 | 1,146
Medical benefits commitments |  | 1,494 | 1,484 | 1,532
Plan assets [member] | Current service cost [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | 0
Plan assets [member] | Interest income or expense [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 129 | 120 | 123
Plan assets [member] | Contributions by plan participants [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | 0
Plan assets [member] | Employer contributions [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 1 | 22 | 0
Plan assets [member] | Past service cost [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year | [1] | 0 | 0 | 0
Plan assets [member] | Remeasurements [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (119) | 66 | 224
Plan assets [member] | Return of plan assets [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year | [2] | (119) | 66 | 224
Plan assets [member] | From changes in demographic assumptions [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | 0
Plan assets [member] | From changes in financial assumptions [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | 0
Plan assets [member] | Other actuarial gains and losses [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | 0
Plan assets [member] | Benefit payments [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (48) | (37) | (39)
Plan assets [member] | Settlements payments [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | 0
Plan assets [member] | Business combinations [member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (39) | (19) | 7
Plan assets [member] | Effect on changes in foreign exchange rates [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 86 | (201) | 71
Plan assets [member] | Other effects Post employment commitments [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | 0
Net liability asset [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments |  | 77 | 48 | (32)
Medical benefits commitments |  | (116) | 77 | 48
Net liability asset [Member] | Current service cost [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 24 | 21 | 21
Net liability asset [Member] | Interest income or expense [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 2 | (3) | (4)
Net liability asset [Member] | Contributions by plan participants [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | 0
Net liability asset [Member] | Employer contributions [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (1) | (22) | 0
Net liability asset [Member] | Past service cost [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year | [1] | (5) | (8) | 0
Net liability asset [Member] | Remeasurements [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (257) | 30 | 74
Net liability asset [Member] | Return of plan assets [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year | [2] | 119 | (66) | (224)
Net liability asset [Member] | From changes in demographic assumptions [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (115) | 0 | 0
Net liability asset [Member] | From changes in financial assumptions [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (257) | 110 | 311
Net liability asset [Member] | Other actuarial gains and losses [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (4) | (15) | (13)
Net liability asset [Member] | Benefit payments [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | (1)
Net liability asset [Member] | Settlements payments [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | 0
Net liability asset [Member] | Business combinations [member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 39 | 19 | (7)
Net liability asset [Member] | Effect on changes in foreign exchange rates [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 4 | (6) | (2)
Net liability asset [Member] | Other effects Post employment commitments [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | € 0 | € 0 | € 0
[1] | (*) Including gains and losses arising from settlements.
[2] | (**) Excluding interest, which is recorded under "Interest income or expense".

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