Joe Biden thinks health care reform is a big fucking deal. (See video above. In related news, Joe Biden continues to come in a close second behind the Apostle Peter as my personal Patron Saint of ADHD.) If you read the papers of record, however, you will see him quoted as saying "...", "[expletive]" or "profane term". Sadly, "fracking" does not yet seem to be AP style.
Personally, I like NPR's Ian Chillag's take ...
"This is a big lovemaking deal, Mr.President."