Cryptopay offers bitcoin visa debit cards. You can sign up and get a virtual card in an instant, or order pin and/or chip plastic cards, which cryptopay will ship for free worldwide. The cards come in EUR or GBP denominated cards with USD soon to come according to the site. Cryptopay not only provides an extremely simple off ramp for your bitcoin, it offers a new level of convenience for international travelers, who can now easily convert bitcoin into multiple currencies, and spend abroad with fees the same as local residents.
If we were to judge by fees alone, and assuming that cryptopay does indeed integrate USD, Cryptopay would probably rank as the best international bitcoin debit card out there. However, the founders are somewhat unknown in the market and they have not achieved any level of funding.