Besides NY and Chicago which are both truly on the decline, la cosa nostra's lifespan may be 20 years "at best."
Respectfully disagree on Chicago. It's going to be like Buffalo and Detroit before long. Cosa Nostra in the USA will likely be a New York thing in 20 years (plus maybe NY family operatives in New Jersey, Florida, and other places like that).
As for the thing about all the new members in New York being junkies - that's likely references to new members being hooked on pain pills, which apparently is reaching epidemic proportions in Staten Island, Long Island, and other places in the area.
