I just discovered an interesting company issuing offshore VISA debit cards that are linked with an e-gold account (not linked directly but you can fund your VISA account using E-gold or PayPal !!!) Visit for more details : http://now1card.com/members/bulldog9.shtml
From the web site: The NowCard is a product of Internet Securities S.A. with offices in San Jose, Costa Rica. Yet, the now1card.com domain is registered to somebody who lives in Belize, a nice crime ridden country. Sure, send your money via PayPal to Belize, Central America. You'll never see it again!