Going from the tea boy to company head may once have been possible; but these days to start the route to the top, you have to have specialist knowledge and skills.

曾几何时，要从一个端茶倒水的服务生变成企业当家人是很有可能的，但如今你若想爬到公司高层，首先得掌握专业知识和技能。

youdao

"It's a huge blow to President Obama, and a big boost to the Republicans, particularly to the Tea Party grass roots, " says Dean Clancy, a health specialist at Freedomworks, a conservative campaign group.

BBC: President Obama faces tough choices on healthcare