A Hospital Chain's Brass Knuckles, and the Backlash
Article on Columbia/HCA Healthcare Corp, world's largest health care company; says chief executive Richard L Scott has built company with policy of aggressively acquiring hospitals, strictly controlling costs and fiercely competing with established rivals, many of which are not-for-profit operations; holds company's formula has helped it grow in a decade from nothing to $20 billion in revenues, with roughly 350 hospitals, 550 home-health-care offices and scores of other medical businesses in 38 states; opposition to Columbia's bare-knuckled competitive tactics and several Federal inquiries into its financial practices detailed; tables; photos (L)