TRUH vs VXUS
VanEck Healthcare TruSector ETF vs Vanguard Total International Stock ETF
Which is better, TRUH or VXUS?
Large Cap Value against Large Cap Blend.
VXUS has a lower expense ratio.
MarketXLS is not an investment adviser. This comparison is generated automatically from market data and is for information only. A Best mark means the better reading on that one measure, not a recommendation to buy.
Side-by-Side Comparison
| Metric | TRUH | VXUS |
|---|---|---|
| Expense Ratio | 0.10% | 0.05%Best |
| AUM | $587,754 | $164.9B |
| Dividend Yield | 0.28% | 2.51% |
| Holdings | 122 | 8,844 |
| YTD Return | +17.26%Best | +11.63% |
| 1Y Return | - | +17.78% |
| 3Y Return (annualized) | - | +19.91% |
| 5Y Return (annualized) | - | +9.30% |
| Fund Family | VanEck | Vanguard (US) |
| Category | Equity | Equity |
| Style | Large Cap Value | Large Cap Blend |
| Inception | Apr 1, 2026 | Jan 26, 2011 |
Not shown on this pair: Volatility (annualized), Max Drawdown, $10,000 over the window, Top 10 Weight.
TRUH vs VXUS growth
Month-end closes. Both lines start at 0% in the first month shown, so the gap between them is the difference in growth across that window. The full view is available from the range buttons; it is not the opening view here because over the whole period one of these two funds moves so much further than the other that its line would sit flat on the axis.
TRUH vs VXUS Performance
VanEck Healthcare TruSector ETF (TRUH) is an ETF from VanEck and Vanguard Total International Stock ETF (VXUS) is an ETF from Vanguard (US). Year to date, TRUH is up 17.26% versus a gain of 11.63% for VXUS.
Past performance does not guarantee future results.
Fees and Cost Over Time
TRUH charges 0.10% per year while VXUS charges 0.05%. On a $10,000 position that is $10 vs $5 annually, a gap of $5 per year that compounds over a long holding period. On income, TRUH currently yields 0.28% against 2.51% for VXUS.
Holdings Overlap
We hold position weights for 60 holdings in TRUH and 8,082 in VXUS, totalling 99.9% and 89.3% of the two funds. The two books name no position in common, so there is no overlap percentage to show.
The two holdings books were reported 46 days apart, TRUH as of Sep 15, 2026 and VXUS as of Jul 31, 2026, so some of the difference between them is the time between the two reports rather than the funds.
0 positions in common, counted across the 60 positions we hold weights for in TRUH and 8,082 in VXUS, against full books of 122 and 8,844.
You are not choosing between two funds in isolation.
Whichever of TRUH and VXUS you pick has to sit alongside everything else you own. Add the rest and see what the combination actually holds.
Free for up to 10 holdings. No account needed.
Frequently Asked Questions
Which is cheaper, TRUH or VXUS?
TRUH has an expense ratio of 0.10% while VXUS charges 0.05%. VXUS is the cheaper option, by $5 a year on a $10,000 investment.
Which pays a higher dividend, TRUH or VXUS?
TRUH yields 0.28% while VXUS yields 2.51%, so VXUS currently pays the higher dividend yield.
Is VXUS better than TRUH?
VXUS has a lower expense ratio. Which one suits a particular account depends on what it is for. This is information, not a recommendation.