Health-care stocks are down in early Wednesday trade, led by Anthem, Cigna and UnitedHealth

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Health-care stocks continued to fall on Wednesday morning, led by Anthem Inc. , Cigna Corp. and UnitedHealth Group Inc. The Health Care Select Sector SPDR Fund was down 1.5% in early intraday trade.

Companies in the managed care and health services sectors are facing “temporary downside risk,” thanks to the Medicare-for-all debate, analysts at J.P. Morgan wrote in a note to clients Tuesday. UnitedHealth reported earnings on Tuesday that beat expectations, but shares still fell, a possible indication of investors’ anxiety over U.S. Sen. Bernie Sanders’ latest Medicare-for-all proposal.

The Health Care Select Sector SPDR Fund has been lagging the market in recent months, gaining 1.2% in the year to date. The S&P 500 has gained 16% and the Dow Jones Industrial Average has gained 13.4%.Market Pulse Stories are Rapid-fire, short news bursts on stocks and markets as they move. Visit MarketWatch.com for more information on this news.