I do live using BTC here in the Philippines. For example, after converting the SBD and Steem to BTC, I then send the BTC to coins.ph which I can turn to our local currency, the Peso.. Then I can use several ways to cash out, like you mentioned the ATM/bank but there are a ton of options too, see below screenshot, there's 2 more option after the last one, coins.ph is controlled by the central bank here so they have ID'd all Filipino BTC users:
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