Gov. Jay Inslee signed into law the nation’s first public option. Jay Inslee is running for president as the climate change candidate. But the two-term Washington state governor can credibly claim to have accomplished more than most of his peers on health care, a signature issue in the 2020 campaign.

He created both the nation’s first public option and universal long-term care benefit, albeit a limited one, has run a successful Obamacare market and expanded reproductive rights. His administration has also pushed forward a new plan for controlling drug costs, expanded Medicaid coverage to transgender patients and added new programs for school children aimed at preventing chronic diseases later in life.

In another time, Inslee would be running on his health care record, his campaign concedes. But not now. Inslee, who is among the many candidates in the crowded field struggling to crack 1 percent in the polls, said he doesn’t have any second thoughts about staking his longshot bid on tackling climate change, even if that overshadows his health policy accomplishments.