In this essay I systematically incorporate empirical work on the increase in labor market insecurity and income inequality into a regulation theoretic framework for analyzing macroeconomic growth. In particular, I link well-known problems in the American labor market that have been increasing over the last four decades to the ongoing problem of slow macroeconomic growth. The rise of job polarization and income inequality coincides with a long period of stagnation, both continuing through to the present (with the exception of a brief period of strong growth and declining inequality in the second half of the 1990s). I argue that both sets of problems – labor market insecurity and slow growth – can be traced to a changing institutional configu...