There are now 10 firm time delay measurements in gravitational lenses. The physics of time delays is well understood, and the only important variable for interpreting the time delays to determine H_0 is the mean surface mass density <k> (in units of the critical density for gravitational lensing) of the lens galaxy at the radius of the lensed images. More centrally concentrated mass distributions with lower <k> predict higher Hubble constants, with H_0~1-<k> to lowest order. While we cannot determine <k> directly given the available data on the current time delay lenses, we find H_0=48+/-3 km/s/Mpc for the isothermal (flat rotation curve) models, which are our best present estimate for the mass distributions of the lens galaxies. Only if we eliminate the dark matter halo of the lenses and use a constant mass-to-light ratio (M/L) model to find H_0=71+/-3 km/s/Mpc is the result consistent with local estimates. Measurements of time delays in better-constrained systems or observations to obtain new constraints on the current systems provide a clear path to eliminating the <k> degeneracy and making estimates of H_0 with smaller uncertainties than are possible locally. Independent of the value of H_0, the time delay lenses provide a new and unique probe of the dark matter distributions of galaxies and clusters because they measure the total (light + dark) matter surface density.
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