Bitcoin should eliminate the need for exchanges too. Bitcoin is best for going to the shop (physically) and pay for some goods you will take home with yourself. Best would be if fiat would be completely off this equation. But it's not.

Now, what you mean by getting your payment different? Best would be face to face, in cash. But we also know that this has issues, from the fact the one who may want to trade with you is probably 1000s of miles away to the fact that face to face money operations face at least the risks of robbery and counterfeit.

And.. yeah, this means we "are back to" exchanges and banks and all the hassle with the (lack of) privacy. And yes, this also means we're using Bitcoin in the wrong way. Sadly. Is there a better option today (apart of moving to El Salvador)? I doubt it.