The only area where the Mafia can really be said to have lost ground directly to other crime groups is the drug trade. Overall, the Italians have been marginalized in that respect for the last quarter century, though they remain significant players in New York.

Though it still exists, the numbers racket isn't what it was, not so much as a result of other groups, but because of legalized state lotteries and the fact that the mob's typically white clientele engage more in sports betting.

Extortion still exists in many forms. Much of it within the realm of the shakedowns and kickbacks that make up labor racketeering. The direct, rather obvious "protection" shakedowns still happen, albeit to a lesser degree; especially with such targets as strip clubs. It can be more subtle and indirect like forcing a business to purchase supplies from a mob-owned wholesaler and whatnot.