you can log into paypal and request a debit card that is from them, and linked to your account. then you use it like you would a normal debit card linked to a bank account.
whenever i sell anything, or receive any money, i go straight to a credit union ATM (so there are no ATM fees) and take the money out as cash.
the few odd dollars over the even amount that i can't get at from an ATM get transferred to my bank account.