Albania has often been called the 51st state for its perceived strongly pro-American positions, mainly because of the United States' policies towards it. In reference to President George W. Bush's 2007 European tour, Edi Rama, Tirana's mayor and leader of the opposition Socialists, said: "Albania is for sure the most pro-American country in Europe, maybe even in the world ... Nowhere else can you find such respect and hospitality for the President of the United States. Even in Michigan, he wouldn't be as welcome." At the time of ex-Secretary of State James Baker's visit in 1992, there was even a move to hold a referendum declaring the country as the 51st American state. In addition to Albania, Kosovo which is predominately Albanian is seen as a 51st state due to the heavily presence and influence of the United States. The US has had troops and the largest base outside US territory, Camp Bondsteel in the territory since 1999.

Who is the mayor of Tirana?