It is difficult to get a good healthcare scam going cos you have to have many regular folks involved .
Most regular people will not be able to sleep at night or be so worried that they will have to go to the joint that it eats at them till they give each other or them selfs up .
This is why you have so many other groups in this racket cos the mob knows that they will need many regular folks so they usually stay clear of most of this until one like this comes along and there are rats or Feds involved that make it go so easy .

This one had many regular people involved and a few guys that would be made if they were Italian on fathers side one of the guys was a landfill and recycling guy tossed out of jersey he is a money man and has family in the the Luke's .