It can be set to strip the macro's out or Print the whole file to a PDF. The PDF would not have macro's. Our solution even will scan for urls in documents and see what they are.
This really changes the state of "will companies be willing to pay." When it is $300, people are quick to jump on the "of course you have to pay it" bandwagon. But when it is millions, it is much harder to decide that it is worth paying the ransom.