They are all in bad shape these old timers, especialy Cirillo. But every mobster that is over 55 years old seems to major health problems when he is indicted.
Like Fransesco Polizzi, a DeCavalcante-capo who died in 2001. That was six and a half years after he got a pass on his 22 years sentence. Normaly he still had 11 years to go. So he only served half of his sentence because doctors and the judge said he had only 6 months to live, at max.
So I suppose they think Cirillo won't outlive his sentenced but these old guys seem to be quite good actors and survivors.