The Cosa Nostra is DEAD, though props to the Italians for a long run. One word: RICO. The Russians are in the process of taking over, have been for a long time. The Italians were bad, they'd whack you as long they had an ok. The Russkies, though, are fucking ruthless: they'll kill you, your wife, your kids, your goldfish, and burn down your house even if you DO pay them. They don't dick around with "sit-downs" and "counselors" or any of that shit.
:shoot3: "What do you want me to do, whack a guy, off a guy, whack off a guy? Cause I'm married." Peter Griffin to the local Capo