MEDX vs TRUF

MEDXDHorizon Kinetics Medical ETF

TRUFCVanEck Financials TruSector ETF

In short

MEDX Most healthcare funds chase drugmakers' profits. MEDX aims at the bill itself: pre-expense returns that generally track the U.S. healthcare cost inflation rate, held in a concentrated, actively run book.

TRUF Most active funds exist to beat a benchmark. TRUF is active so it can hug one: it holds US financials at true market weight, sidestepping the diversification caps that force many sector funds to shrink their largest names.

Stated mandate

MEDX The Fund seeks to provide long-term growth of capital.

TRUF The Fund is an actively managed ETF seeking long-term capital appreciation through securities of financials-related companies or instruments providing exposure to such companies.

Why people hold it

• MEDX Unusual mandate: the fund seeks pre-expense returns that generally track the U.S. healthcare cost inflation rate, not the price of the healthcare sector.
• Concentrated by design, roughly 30 positions. You can read the whole portfolio in a sitting instead of owning a sector index tail.
• Actively managed by Horizon Kinetics since its 2023 launch, so the book is picked against the inflation goal rather than assembled by market cap.

• TRUF A 0.10% expense ratio, against a 0.65% median for actively managed US equity funds in its peer group.
• The hybrid build (individual stocks plus targeted ETFs) keeps a sector's biggest contributors at uncapped weight while staying inside fund diversification rules.businesswire.comvaneck.com
• Roughly 80 names, measured against the MarketVector Top US Financials Companies Index. The mandate is the sector itself, not a stock picker's shortlist.

Worth knowing

• MEDX At 0.85% a year, it costs more than the median active US equity fund (0.65%), and multiples of broad core rivals like DFAU (0.12%) and FELC (0.18%).
• Small asset base and light trading volume. Spreads can widen, so limit orders do real work here.
• Distributions arrive once or twice a year, and against hundreds of active US equity peers it sits in the bottom quartile on our overall review.

• TRUF VanEck says financials has not suffered the weighting distortions that hit tech and consumer discretionary, so the problem this structure solves is smaller here.vaneck.com
• Launched in 2026 and still a small fund, so spreads can run wider than in the sector's household-name ETFs. Limit orders are the usual tool for that.
• Owning other ETFs brings acquired fund fees, one of the items VanEck's expense arrangement does not cover, so total cost sits above the headline fee.vaneck.com

Full MEDX profile⁠

Full TRUF profile⁠