The midwest families were dependent on the rust belt unions like the Teamsters. Once their corruption of those unions was exposed they were left with pretty much street vice, which doesn't exist in those cities to nearly the extent it does in NY. I believe the only reason the NY families have survived is because the the opportunities for vice rackets are abundant. Why Chicago's still hanging in there as well.
"...the successful annihilation of organized crime's subculture in America would rock the 'legitimate' world's foundation, which would ultimately force fundamental social changes and redistributions of wealth and power in this country. Meyer Lansky's dream was to bond the two worlds together so that one could not survive without the other." - Dan E. Moldea
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