Well, you know, even if the made men die of old age the bookies and loansharks don't really go away. Harrisburg Crew (led by Aldo Magnelli) had a lot of unmade associates. Nicholas Cantone (associate) is still involved in gambling today. He's 57 and until recently was involved in a legal battle with the state of Pennslvania because he refused to follow smoking and gambling laws in his restaurant, Cantone's. So a couple years ago he tried to register Cantone's as a private chapter of the Sons of Italy so patrons could legally gamble. I think most tellingly, anyone even non-Italians could join and then get free access to the gambling. It was pretty smart but just three years ago it, and his other two bars in the area were foreclosed on.

http://www.pennlive.com/midstate/index.ssf/2009/12/cantones_restaurant_to_become.html
http://www.pennlive.com/midstate/index.ssf/2012/06/metro_bank_is_foreclosing_on_c.html

Another Harrisburg-area bookie Magnelli and Cantone were partnered with was John "Fish" Troutman, who also worked for Magnelli, just like all the other ones. He was white, but took action from the black gamblers. He was stabbed to death in his house in 2011.

http://www.pennlive.com/midstate/index.ssf/2011/01/obituaries_today_john_fish_tro.html
dex.ssf/2011/01/slaying_victim_was_a_bookie_fr.html

I assume there's still a little action leftover with the remnants of the other crews...but not much. A restaurant with a couple machines is a far cry from a gambling junket.

D'elia didn't have too many street guys around him. His "mob" by 2008, 2009 was really his gang of corrupted judges, businessmen, and lawyers. The book "Kids for Cash" briefly mentions his role in corrupting local judges to send kids to jail, for a profit.

Really it's like Pittsburgh. Men go away, rackets don't, and for the next 10 years the slack will be picked up by the guys who were peripherally involved in the decades preceding.