Depends on your location, but if I was to accept one. What would I do after receiving crypto? Convert them to my local currency specifically PHP in my country.
Now about the gas fees and stuff? Well there are 3rd party apps that helps me do that without waiting too much like Coins.ph. If you reside in the Philippines, you should know this app.
Going from BTC to USDT is indeed rough. I would just consider doing that in day trading.