I think Matteo Messina Denaro being on the run for going on 3 decades now suggests that Cosa Nostra still has considerable political influence. Plus there's the disappearance of key witnesses in the State-Mafia investigation. Then Bernardo Provenzano wasn't captured until 2006, long after the early 1990s which many consider the Mafia's downfall. Of course the mob's most violent and vicious killers, those killing and bombing left and right are doomed, but other than that I don't think very much has changed.