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Long-Term Obligations and Other Short-Term Borrowings (Details) - USD ($)
$ in Millions
1 Months Ended
Jun. 30, 2017
Dec. 31, 2017
Debt Instrument [Line Items]    
Debt and Capital Lease Obligations $ 10,395 $ 9,759
Accounts payable 17,906 19,194
1.7% Notes due fiscal 2018 [Member]    
Debt Instrument [Line Items]    
Repayments of Debt 400  
Patient Recovery Business    
Debt Instrument [Line Items]    
Proceeds from Notes Payable $ 5,200  
Short Term Credit Facilities Member | Committed Receivables Sales Facility Program [Member]    
Debt Instrument [Line Items]    
Line of Credit Facility, Maximum Borrowing Capacity   1,000
Commercial Paper [Member] | Committed Receivables Sales Facility Program [Member]    
Debt Instrument [Line Items]    
Line of Credit Facility, Fair Value of Amount Outstanding   151
Revolving Credit Facility [Member]    
Debt Instrument [Line Items]    
Line of Credit Facility, Maximum Borrowing Capacity   2,000
Revolving Credit Facility [Member] | Committed Receivables Sales Facility Program [Member]    
Debt Instrument [Line Items]    
Line of Credit Facility, Fair Value of Amount Outstanding   $ 0