Last month, Kiah Bland of Waikiki set out to find a primary care physician. What she assumed would be a painless chore swiftly became a desperate search. Most doctors in her area weren’t accepting new patients. Those still building their patient base had lengthy waits for an office visit. Eventually, the 36-year-old found a Honolulu physician who could see her immediately — for a price. The doctor, who does not accept health insurance, explained that it would cost her $200 a month to become a