My have times changed in the past couple of years, especially.. 


NOT only are there a multitude of ways in and out in the west, there are a lot of less developed locations that have a multitude of ways in and out, as well, and even in the place that don't have a lot of options there are more and more Local bitcoin avenues developing and even possibilities for direct transactions at bitcoin meet-ups - because a broader segment of the population (no where near mass adoption) are holding BTC through wallet apps such as blockchain.info... and Bitcoin ATMs have proliferated pretty well, too (even though their rates may be a bit higher - frequently a 5% to 10% premium from my understanding)