You can send it over to any exchanges that have steem. Trade it for BTC. Get a Bitcoin Debit card... Send over the bitcoins. Withdraw from an ATM. But, soon enough Payza is suppose to add Steem on their platform. I have been using Payza for years now, hence I do marketing online. They are like paypal. If steem does get added on there. Then you can just send it over to Payza and cash out with their debit card. But, for now. STEEM into BTC and BTC into CASH.