Against All Odds: Introducing Social Health Insurance in Albania. An Actor-Centred Approach to Causal Mechanisms

Abstract

Abstract Scholarship on international development acknowledges the World Bank as a coercive actor, constraining developing countries to accept and adopt its prescribed policies through conditional structural adjustment loans. While less research examines the non-coercive, persuasive side of the World Bank, this chapter attempts to fill this gap by investigating Social Health Insurance introduction in post-communist Albania. Focused on the interaction between the Albanian Government and the World Bank and applying an actor-centred perspective, the analysis reveals a complex causal mechanism of transnational cooperation, which occurs in a non-coercive form, that explains the process. Next, it illustrates three elementary causal mechanisms that comprise the complex one. They are the rational orientation of the Albanian Government, the normatively-embedded calculatory orientation, and the reflective orientation of the World Bank.

Cite this work

No public copy is stored for this record, so only the metadata is cited.

Stored only when both papers are in the corpus — 1 citations exist upstream.

Papers that cite the same references — the relational fallback while embeddings are still backfilling.