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I think it is used more in places like Venezuela where inflation is an issue. Elsewhere businesses may be wary. There are ways to quickly convert to fiat that you can spend, but I don't know what costs are involved. I have not used my crypto debit card in a long while and you have to do a few steps to convert the Hive stuff.
Hive options are pretty limited in the US, and taxes are what usually hit you the hardest.