There are quite a few connections with organized crime, it turns out. This isn't just a random slur, but something that merits investigation.
https://www.washingtonpost.com/opinions/are-trumps-mob-conne...
and of course there's this, too:
https://www.nytimes.com/interactive/2018/10/02/us/politics/d...
This is the very definition of a criminal enterprise. Breaking federal election laws, blackmailing those investigating your crimes. If the connection to the Trump campaign bothers you, that too is factual, given that AMI's agreement involved assistance they gave to the Trump campaign that was illegal, and the owner, David Pecker, is a close personal friend of the President.
There's pretty good circumstantial evidence from this, and the Cohen tapes, that using power and privilege to "deal with" personal or political enemies does not give pause to these people.
Thus, mafia-like behavior.
Beyond that, there is huge variation in how one phrases facts and how they relate to context. None of that is neutral or factual, even if the selected facts themselves are.
https://www.youtube.com/watch?v=44QgPty17Mc
This shows the whole Trump/AMI/Campaign org to essentially be a criminal mafia enterprise.