People in the Bitcoin community believe that these options are mutually exclusive, but they're not. If you're doing a dual currency transaction in a period of high volatility, somebody is paying for that exchange risk. It's either the customer, the payment processor, or the merchant, or possibly two of them, but it certainly isn't no-one.
There were multiple periods today in which Bitcoin fell more than 10% in 15 minutes. If I were insane enough to sell Bingo Card Creator for Bitcoin, and then gave an elementary schoolteacher a quote for 0.42785714285714285714285714285714 BTC ($29.95 at 70 to the dollar), it's entirely possible that in the five minutes of thinking it took to process everything on the screen, the 0.42785714285714285714285714285714 BTC that I received would be worth only $27.81 at market prices. Hmm, that's funny, I just paid 7.1% in transaction fees before paying the transaction fees. (We're obviously operating in a perverse hypothetical world where elementary schoolteachers would both understand that option, have BTC available to spend, and be happy spending them, and where I would consider actually implementing this.)
It's possible that the payment processor I was working with would absorb this risk for me, because they hope to keep my business. That would be an extraordinary dangerous decision for them, because they're now running their merchant payments operation as a sideline to currency speculation. (Which I suppose makes them a perfect fit for the Bitcoin community.)