Wichita is known to have organized crime in the area. Kansas is very high when it comes to the production of meth, and it, Wichita specifically, is a known hub for human trafficking.
However, the "mafia" is quite exaggerated. Kansas is known to have a significant amount of inter-state gangs, cartel activity, trafficking, and may have some shady business deals here and there, but I'm guessing your sister's patient is full of himself.
The primary significance of illegal activity in Wichita is that it's a city in the the middle of the country. Thugs from the East and West Coast use it as a meeting point. It really has no other financial benefit.
Furthermore, no competent member of the "mafia" is going to admit any such thing, as simply making such statements are reason for indictment under the RICO statute.
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