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FHLC vs. IXJ: Which Healthcare ETF Offers Better Value?

A comparison between the FHLC and IXJ healthcare ETFs, highlighting key differences in cost, risk, and portfolio composition between domestic and global focus.

June 26, 2026
2 min read
Source: Motley Fool
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The healthcare sector is a popular choice for investors seeking stability and growth. Two notable ETFs in this space are FHLC (Fidelity MSCI Health Care Index ETF) and IXJ (iShares Global Healthcare ETF), each with a distinct approach.

Geographic Focus

FHLC focuses exclusively on the US market, providing direct exposure to major US healthcare companies. In contrast, IXJ takes a global approach, investing in healthcare companies worldwide, offering geographic diversification.

Costs

In terms of expense ratio, FHLC is cheaper (0.08%) compared to IXJ (0.42%), making it more attractive for cost-conscious investors.

Risks and Returns

Due to its domestic focus, FHLC may be more sensitive to US regulatory and economic changes. IXJ's diversification reduces country-specific risk but may be affected by currency fluctuations and global market volatility.

What This Means for Investors

The choice between FHLC and IXJ depends on your investment goals and desire for diversification. If you seek low-cost exposure to the US market, FHLC may be suitable. If you prefer global diversification to mitigate geographic risk, IXJ could be a better option.

Frequently Asked Questions

FHLC focuses solely on the US market, while IXJ invests globally in the healthcare sector.

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This article was rewritten in Wrqti's editorial style based on information from the original source above. Content is informational only — not investment advice.