It's no secret that the Obama campaign has been ISO of a rationale for the President's reelection for quite some time; until now, they've offered no plans for or roadmaps to a second Obama term. But given ObamaCare's massive unpopularity, promising more healthcare "reform" probably isn't the ticket.
Predictably, the President didn't make the remarks publicly; they came at an off-the-record fundraiser. After all, the President has a history of making some of his most revealing remarks in that context.