I own the domain prgmr.com, and control the associated nameservers.
I can make smcl.prgmr.com, and give it to you. I can even point smcl.prgmr.com at your own nameserver so you can make somethingelse.smcl.prgmr.com. You could, in fact, sell other people [something].smcl.prgmr.com. domains, and so on.
It's just a line in my dns config. (then dealing with abuse complaints and the like)
Now, Verisign owns .com. There's no technical difference, really, between .com, .co.uk, and prgmr.com. If you want smcl.com, you need verisign's dns servers to cooperate, just as if you want smcl.prgmr.com, you need my dns servers to cooperate. For this, verisign charges the registrar seven bucks and change. The registrar tacks on a few pennies (or does the same with advertising) and handles all interactions with you.
Verisign has a nice re-seller interface. That's what the registrar/registry split is all about. But if I really thought people would give me money for something.prgmr.com. dns entries, I'm sure I could come up with a re-seller interface, too.
Personally, I think the current price is a little high, but mostly because I don't like monopolies in general, and my feelings for Verisign can only be described with superlative synonyms for hatred. Personally, if someone has to have a monopoly on .com domains, I think a not-for-profit like ICANN would do a better job.
It is a small injustice, though, for reasonable people with one or two domain names.
(On the other hand, the registrars, the people who actually handle the customer interaction, are ridiculously efficient. if you want a domain cheap, you can get it for pennies over what the monopoly charges, or you can pay a few bucks more, and get pretty good service, showing that when there is competition, for-profit businesses can do a pretty good job.)