TMED vs VXUS
TMED vs VXUS
T. Rowe Price Health Care ETF vs Vanguard Total International Stock ETF
Quick Verdict
VXUS has a lower expense ratio. TMED delivered stronger 1-year returns. VXUS offers more diversification with 7861 holdings.
Side-by-Side Comparison
| Metric | TMED | VXUS | Winner |
|---|---|---|---|
| Expense Ratio | 0.44% | 0.05% | |
| AUM | - | $156.5B | |
| Dividend Yield | - | 2.60% | |
| Holdings | 347 | 8,747 | |
| YTD Return | +17.55% | +14.57% | |
| 1Y Return | +48.61% | +27.82% | |
| 3Y Return (annualized) | - | +19.27% | |
| 5Y Return (annualized) | - | +9.28% | |
| Volatility (annualized) | 14.3% | 15.1% | |
| Max Drawdown | -11.1% | -39.9% | |
| Fund Family | T.Rowe Price | Vanguard (US) | |
| Category | Equity | Equity | |
| Inception | Jun 11, 2025 | Jan 26, 2011 |
TMED vs VXUS Performance
T. Rowe Price Health Care ETF (TMED) is a ETF from T.Rowe Price and Vanguard Total International Stock ETF (VXUS) is a ETF from Vanguard (US). Over the past year TMED returned +48.61% while VXUS returned +27.82%. Year to date, TMED is up 17.55% versus a gain of 14.57% for VXUS.
Risk: Volatility and Drawdowns
VXUS has been the more volatile fund, with annualized monthly volatility of 15.1% compared with 14.3% for TMED. Lower volatility generally means a smoother ride, though it often comes with lower long-run returns.
The deepest peak-to-trough decline in our data was -11.1% for TMED and -39.9% for VXUS. Drawdown depth is worth weighing if you expect to sell during market stress rather than ride it out.
The two funds' monthly returns correlate at 0.46. They move independently enough that combining them can meaningfully diversify a portfolio.
Fees and Cost Over Time
TMED charges 0.44% per year while VXUS charges 0.05%. On a $10,000 position that is $44 vs $5 annually, a gap of $39 per year that compounds over a long holding period.
Holdings Overlap
TMED and VXUS share 0 holdings out of 8023 unique holdings combined, representing a 0.0% weight overlap.
Moderate overlap means holding both could provide meaningful diversification benefits.
Frequently Asked Questions
Which is cheaper, TMED or VXUS?
TMED has an expense ratio of 0.44% while VXUS charges 0.05%. VXUS is the cheaper option. On a $10,000 investment, that is $39 per year of difference.
Which performed better, TMED or VXUS?
Over the past year TMED returned +48.61% vs +27.82% for VXUS, so TMED leads on 1-year performance. Over the longest common window we track (1 years), TMED annualized +33.57% vs +4.86% for VXUS. Past performance does not guarantee future results.
Which is riskier, TMED or VXUS?
VXUS has been the more volatile fund at 15.1% annualized versus 14.3% for TMED. Worst drawdown: TMED -11.1% vs VXUS -39.9%.
Should I hold both TMED and VXUS?
TMED and VXUS have a monthly-return correlation of 0.46, so combining them can provide real diversification depending on your allocation goals.
What is the holdings overlap between TMED and VXUS?
TMED and VXUS share 0 common holdings with a 0.0% weight overlap. Combined, they hold 8023 unique securities.
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