The quote is from a just-released recording of former President Bill Clinton speaking to a group of business people in Melbourne, Australia, on September 10, 2001 (or "One day before everything changed forever and we lost our country"). Clinton was talking about how he might have been able to get to Osama bin Laden: "I nearly got him. And I could have killed him, but I would have to destroy a little town called Kandahar in Afghanistan and kill 300 innocent women and children, and then I would have been no better than him. And so I didn’t do it."
You can tease that out and say that killing those 300 people would have created even more terrorists. Or you can say that those people were accessories to bin Laden by their proximity and that Clinton was a hypocrite because of other missile strikes he ordered or that Bill Clinton was a pussy whose inaction helped cause 9/11 (and then you can merrily go fuck yourself).
The photo is from the Gaza Strip in the last few days. The context is how intractably screwed people are when they don't give a shit about those innocent men, women, and children: