This document outlines 10 truths about the rising costs and long term financial challenges facing America's major entitlement programs, Social Security, Medicare, and Medicaid. It notes that these programs will cost $1.9 trillion per year and that Medicare alone accounts for over 25% of all federal debt since 2000. Within 10 years, entitlement program costs are projected to reach $3.5 trillion annually and benefit cuts of 23% may be needed for Social Security beginning in 2034 if reforms are not implemented.