I actually pay very little fees:
1) Charles Schwab reimburses ATM fees including international ones. Further they offer very good rates on ATM withdrawals.
2) Amex has no foreign transaction fees and offers fair market rates on the Centurion, Platinum and Corporate AMEX cards. So I use those and leave the Chase Visa at home. If people don't take Amex they usually don't get my business.
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