After a while, it does become quite real. Real enough (for example) that I could buy 4 new tires for our truck with what was originally Steem. But yes, the process is complex... for me, it was from Steemit to Bittrex to echange into Bitcoin, then transfer from Bittrex to Coinbase, where where I could exchange the BTC for dollars when went to my PayPal debit card.
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