It's almost like being paid a salary in an unregulated Internet Buck that landlords and grocery stores won't accept would make things difficult for people. ;-)
And lastly, Bitcoin fees currently aren't large and you can get a confirmation with a few cents fee. That might stop being so if it becomes too popular again, but if off chain solutions like Lightning Network pan out, then that'd be sorted out.
Further 2 exchange fees sit on of those 3 coin transactions.
In theory you can have an exchange handle all 5 of these transactions, but then your using the exchanges book's not a block chain.