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''United States v. Newton'', 326 F.3d 253, 255 n.2 (1st Cir. 2003).
 
''United States v. Newton'', 326 F.3d 253, 255 n.2 (1st Cir. 2003).
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In practice, prosecutions are usually based on ordinary conspiracies rather than hub-and-spoke conspiracies.  The Supreme Court ruled in 1946 that a "rimless" hub-and-spoke conspiracy (one in which the spokes do not know each other) is often a collection of separate, direct conspiracies.  ''Kotteakos v. United States'', 328 U.S. 750 (1946).  Under this Supreme Court precedent, only rarely would criminal acts constitute a hub-and-spoke conspiracy but not an ordinary conspiracy.
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In practice, prosecutions are usually based on ordinary conspiracies rather than hub-and-spoke conspiracies.  The Supreme Court ruled in 1946 that a "rimless" hub-and-spoke conspiracy (one in which the spokes do not know each other) is often a collection of separate, direct conspiracies.  ''Kotteakos v. United States'', 328 U.S. 750 (1946).  Under this Supreme Court precedent, it is easier to try defendants for an ordinary or [[chain conspiracy]] than a hub-and-spoke conspiracy.
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However, hub-and-spoke conspiracies are common with respect to [[sham peer review]], whereby one physician can obtain removal of a competitor by misusing peer review at one hospital, and later repeating the bad faith peer review at another hospital.
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