PayPal says they plan to go Global with this but for now it's just the US. If you're in a European country (specially the UK) you can watch out for the release of mPowa. They will be first available in the UK and in some parts of Europe but they will be open to the North American market and other parts of the world after that.
It may interest you that with mPowa you have an option to use a chip and PIN device. And also, process a payment manually.
Of course, you can still use the card reader of you want. Their card reader device is sleek, less bulky than typical POS devices, there's no hardware to rent, its free for all time. All you pay is a small fee for each credit card or debit card transaction (.25%). There are no fees for making cash and check transactions, too.
You can check their site
http://www.mpowa.com/ so you can check them out yourself.