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Note 25 Medical benefits commitments (Details) - EUR (€) € in Millions | 12 Months Ended
--- | ---
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments |  | € 1,377 | € 1,562 |
Medical benefits commitments |  | 1,448 | 1,377 | € 1,562
Present value of defined benefit obligation [member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments |  | 1,377 | 1,562 | 1,580
Medical benefits commitments |  | 1,448 | 1,377 | 1,562
Present value of defined benefit obligation [member] | Current service cost [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 19 | 24 | 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 |  | 144 | 131 | 117
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] | 28 | (5) | (8)
Present value of defined benefit obligation [member] | Remeasurements [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (215) | (377) | 95
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 |  | 0 | (115) | 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 |  | (191) | (257) | 110
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 |  | (23) | (4) | (15)
Present value of defined benefit obligation [member] | Benefit payments [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (60) | (49) | (37)
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 |  | 155 | 90 | (207)
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 | 0
Plan assets [member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments |  | 1,494 | 1,484 | 1,532
Medical benefits commitments |  | 1,476 | 1,494 | 1,484
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 |  | 157 | 129 | 120
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 |  | 0 | 1 | 22
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 |  | (144) | (119) | 66
Plan assets [member] | Return of plan assets [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year | [2] | (144) | (119) | 66
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 |  | (60) | (48) | (37)
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 |  | (139) | (39) | (19)
Plan assets [member] | Effect on changes in foreign exchange rates [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 167 | 86 | (201)
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 |  | (116) | 77 | 48
Medical benefits commitments |  | (28) | (116) | 77
Net liability asset [Member] | Current service cost [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 19 | 24 | 21
Net liability asset [Member] | Interest income or expense [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (14) | 2 | (3)
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 |  | 0 | (1) | (22)
Net liability asset [Member] | Past service cost [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year | [1] | 28 | (5) | (8)
Net liability asset [Member] | Remeasurements [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (71) | (257) | 30
Net liability asset [Member] | Return of plan assets [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year | [2] | 144 | 119 | (66)
Net liability asset [Member] | From changes in demographic assumptions [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | (115) | 0
Net liability asset [Member] | From changes in financial assumptions [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (191) | (257) | 110
Net liability asset [Member] | Other actuarial gains and losses [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (23) | (4) | (15)
Net liability asset [Member] | Benefit payments [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 0 | 0 | 0
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 |  | 139 | 39 | 19
Net liability asset [Member] | Effect on changes in foreign exchange rates [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (11) | 4 | (6)
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] | (1) Including gains and losses arising from settlements.
[2] | (2) Excluding interest, which is recorded under "Interest income or expense".

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