I have to sort of agree with the OP. The optometrist is bringing in business for the optician - by referring patients to the optician - so, I imagine the optometrist should be compensated for that, even if the compensation is low.
I have a couple of associates, and they receive a base pay + 21% of anything they sell or service. So if associate A sells a pair of 300 dollar glasses, they receive 21% of that amount. Without that associate, I would not be able to sell the $300 glasses to a patient and thus would not be making any profit on those glasses.
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