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Segment Reporting - Reconciliation from Operating Income to Adjusted Operating Income (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2022
Mar. 31, 2021
Segment Reporting, Other Significant Reconciling Item [Line Items]    
Operating income (GAAP measure) $ 3,490 $ 3,577
Amortization of intangible assets 468 587
Legal settlement accrual 484 0
Loss on assets held for sale 41 0
Acquisition-related integration costs 0 41
Adjusted operating income 4,483 $ 4,205
State of Florida Settlement    
Segment Reporting, Other Significant Reconciling Item [Line Items]    
Legal settlement accrual $ 484  
Legal settlement, period of payment 18 years