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Goodwill and Other Intangible Assets (Narrative) (Details) |  | 12 Months Ended
--- | --- | ---
Apr. 01, 2021 USD ($) | Dec. 31, 2021 USD ($) | Dec. 31, 2020 USD ($) | Dec. 31, 2019 USD ($)
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Finite-lived intangible assets, net |  | $ 26,087,700,000 | $ 29,602,500,000 |
Contingent consideration liability |  | 199,700,000 | 223,600,000 | $ 250,700,000
Contingent consideration payments |  | (83,200,000) | (111,800,000) |
In-process research and development |  | 46,500,000 | 80,700,000 |
Goodwill, Impaired, Accumulated Impairment Loss |  | 385,000,000.0 | 385,000,000.0 | 385,000,000.0
Goodwill |  | 12,113,700,000 | 12,347,000,000 | 9,590,600,000
In-process research and development |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
IPR&D intangible asset impairment charges |  | 19,400,000 | 37,400,000 | 138,300,000
Product rights and licenses |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Finite-lived intangible assets, net |  | 26,084,500,000 | 29,598,700,000 |
Impairment of products rights and licenses intangible assets |  | 83,400,000 | 45,000,000.0 | 42,300,000
Europe Segment |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Reporting Unit, Amount of Fair Value in Excess of Carrying Amount | $ 910,000,000 |  |  |
Reporting Unit, Percentage of Fair Value in Excess of Carrying Amount | 5.80% |  |  |
Goodwill | $ 5,150,000,000 |  |  |
Europe Segment | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input, Term | 10 years |  |  |
North America Segment |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill | $ 3,660,000,000 |  |  |
JANZ |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill, Impaired, Accumulated Impairment Loss |  | 0 | 0 | 0
Reporting Unit, Amount of Fair Value in Excess of Carrying Amount | $ 230,000,000 |  |  |
Reporting Unit, Percentage of Fair Value in Excess of Carrying Amount | 7.00% |  |  |
Goodwill | $ 820,000,000 | 776,300,000 | 864,000,000.0 | $ 584,800,000
JANZ | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input, Term | 10 years |  |  |
JANZ | Product rights and licenses |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Finite-lived intangible assets, net |  | $ 1,495,800,000 | $ 2,803,200,000 |
Measurement Input, Discount Rate [Member] | In-process research and development | Minimum |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Rate used to discount net cash inflows to present values |  | 0.070 | 0.090 | 0.090
Measurement Input, Discount Rate [Member] | In-process research and development | Maximum |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Rate used to discount net cash inflows to present values |  | 0.090 | 0.110 | 0.110
Measurement Input, Discount Rate [Member] | Product rights and licenses | Minimum |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles |  | $ 0.090 |  |
Measurement Input, Discount Rate [Member] | Product rights and licenses | Maximum |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles |  | 0.110 |  |
Measurement Input, Discount Rate [Member] | JANZ | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | 0.085 |  |  |
Measurement Input, Long-term Revenue Growth Rate [Member] | Europe Segment | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | 0.030 |  |  |
Measurement Input, Long-term Revenue Growth Rate [Member] | JANZ | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | 0.015 |  |  |
Measurement Input, Estimated Tax Rate [Member] | Europe Segment | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | 0.190 |  |  |
Measurement Input, Estimated Tax Rate [Member] | JANZ | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | 0.305 |  |  |
Measurement Input, EBITDA Multiple [Member] | Europe Segment | Minimum | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | 7.5 |  |  |
Measurement Input, EBITDA Multiple [Member] | Europe Segment | Maximum | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | 8.5 |  |  |
Measurement Input, EBITDA Multiple [Member] | JANZ | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | 6.0 |  |  |
Measurement Input, Control Premium [Member] | Europe Segment | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | 0.150 |  |  |
Measurement Input, Control Premium [Member] | JANZ | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | 0.150 |  |  |
Measurement Input, Terminal Year Revenue Growth Rate | Europe Segment | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | 0.009 |  |  |
Measurement Input, Terminal Year Revenue Growth Rate | JANZ | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | 0.007 |  |  |
Measurement Input, Reduction in Terminal Year Revenue Growth Rate | Europe Segment | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | (0.029) |  |  |
Measurement Input, Reduction in Terminal Year Revenue Growth Rate | JANZ | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | (0.042) |  |  |
Measurement Input, Increase in Discount Rate | Europe Segment | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | 0.015 |  |  |
Measurement Input, Increase in Discount Rate | JANZ | Valuation Technique, Discounted Cash Flow |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Goodwill Impairment, Measurement Input | 0.020 |  |  |
Respiratory delivery platform [Member] |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Contingent consideration liability |  | 177,800,000 |  |
Other current liabilities |  |  |  |
Intangible Assets Excluding Goodwill [Line Items] |  |  |  |
Contingent consideration liability |  | 66,700,000 | $ 100,500,000 | $ 120,400,000
Contingent consideration payments |  | $ (83,200,000) | $ (111,800,000) |

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