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Note 25 Medical benefits commitments (Details) - EUR (€) € in Millions | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments |  | € 1,448 | € 1,377 |
Medical benefits commitments |  | 1,728 | 1,448 | € 1,377
Present value of defined benefit obligation [member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments |  | 1,448 | 1,377 | 1,562
Medical benefits commitments |  | 1,728 | 1,448 | 1,377
Present value of defined benefit obligation [member] | Current service cost [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 20 | 19 | 24
Present value of defined benefit obligation [member] | Interest income or expense [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 167 | 144 | 131
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] | 0 | 28 | (5)
Present value of defined benefit obligation [member] | Remeasurements [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (5) | (215) | (377)
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 |  | (70) | 0 | (115)
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 |  | 56 | (191) | (257)
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 |  | 8 | (23) | (4)
Present value of defined benefit obligation [member] | Benefit payments [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (70) | (60) | (49)
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 |  | 168 | 155 | 90
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 |  | 1,476 | 1,494 | 1,484
Medical benefits commitments |  | 1,744 | 1,476 | 1,494
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 |  | 165 | 157 | 129
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 |  | 17 | 0 | 1
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 |  | (17) | (144) | (119)
Plan assets [member] | Return of plan assets [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year | [2] | (17) | (144) | (119)
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 |  | (70) | (60) | (48)
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 |  | 0 | (139) | (39)
Plan assets [member] | Effect on changes in foreign exchange rates [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 173 | 167 | 86
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 |  | (28) | (116) | 77
Medical benefits commitments |  | (16) | (28) | (116)
Net liability asset [Member] | Current service cost [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 20 | 19 | 24
Net liability asset [Member] | Interest income or expense [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 2 | (14) | 2
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 |  | (17) | 0 | (1)
Net liability asset [Member] | Past service cost [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year | [1] | 0 | 28 | (5)
Net liability asset [Member] | Remeasurements [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 12 | (71) | (257)
Net liability asset [Member] | Return of plan assets [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year | [2] | 17 | 144 | 119
Net liability asset [Member] | From changes in demographic assumptions [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (70) | 0 | (115)
Net liability asset [Member] | From changes in financial assumptions [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 56 | (191) | (257)
Net liability asset [Member] | Other actuarial gains and losses [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | 8 | (23) | (4)
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 |  | 0 | 139 | 39
Net liability asset [Member] | Effect on changes in foreign exchange rates [Member] |  |  |  |
Medical benefits commitments [Line Items] |  |  |  |
Medical benefits commitments changes of the year |  | (5) | (11) | 4
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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