Backwards regions are subsidised by the cities. Sicily can be made into a tourist resort for pensioners.
Or perhaps building a bridge will enable them to bring water in easily from the mainland?
Speaking with the experience of someone who has spent a good half of his life on that island: Sicily's problems are mainly due to the following factors, in this order: culture and mismanagement. Everything else (yes, including the organized crime) comes in a very, very distant third place.
To figure out which angle is more correct, you need to consider facts about the specific regions.
Per-capita GDP is very low for Sicily relative to other regions - but it still has an overall GDP of around $100B, which is similar to Costa Rica or Croatia. Giving it a car/rail connection to the mainland would be a huge boon for the region and Italy in general.