Not good. That's what I'm trying to figure out. I know a legit guy who hacks PayPal's and sells them for cheap but I'm trying to figure out a good way to cash out before even thinking of buying them.
That's the tough part, turning them into paper money. I've been looking into it as well. Try going to Talk Gold forums, there are people there that will ship you an anonymous, reloadable, physical credit card. Add that to the account, transfer it to the card you bought, and cash out at an ATM. I've never tried this yet though, so not sure if it'll work 100%. Or you can just buy something online, and have it shipped to a drop house. Let me know if you come across something better.