At the moment I feel a centralized privacy coin would work best for me. Centralization brings performance and the private part avoids excluding participants.
Needs more adoption from the mainstream crypto payment providers though. Honestly I suspect half the reason support is lacking is because nobody actually understands how it works (because it is quite different).
Now, yes, you have to exchange for it from other currencies, as there is a finite supply which has already been issued.
Personally I didn't use it anyway, I just traded for the coin like anything else.
* Basic Attention Token (BAT) is another "internet money" contender because the user can earn it through viewing ads. No fiat onramp needed.
I haven't researched Nano but I would be interested to hear the trade-offs compared to Ethereum and Bitcoin.