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VHT's top holdings include United Healthcare, JnJ, Eli Lilly, AbbVie, Abbott Labs, and Merck. Any large cap ETF you hold will have exposure to those already. I just wanted a bit more because I've been entrenched in the immorality of it all for a decade now and don't see it changing anytime soon. My general large cap ETFs (VOO and QQQ) have done better likely because tech exposure in those pulling it all up. But long term I'm unfortunately confident healthcare will continue to be used for shareholder profit and not for the benefit of people so I sought out some extra exposure.