Obama offers defense of Affordable Care Act in Profile in Courage speech

The remarks came just days after Republicans passed a replacement plan.

"These men and women did the right thing, the hard thing, and theirs was a profile in courage, and because of that vote, 20 million people got health insurance that didn't have it before," Obama said.

Obama also offered a number of allusions to optimism in what he called "a time of great cynicism about our institutions."

"I have said before that I believe what Dr. King said -- that the arc of the moral universe bends, but it bends towards justice," Obama said. "I have also said that it does not bend on its own, but it bends because we bend it, and we put our hand on the arc and we move it in the direction of justice and freedom and equality and kindness and generosity. It does not happen on its own."