Do the main bosses in the United States answer to the bosses in Italy? How does this work?

Sorry if this is a stupid question. Not really all that educated on this subject.

For example, if a guy fucked up over here bad, would the Italian families have any input on what should happen to him? Would the Italian families ever send someone over from Italy to take care of him?

Last edited by Wilson; 09/07/12 03:40 PM.