they mean the west has systematically overthrown governments, strip-mined the natural resources, drawn arbitrary country borders, funded extremist groups, bombe

they mean the west has systematically overthrown governments, strip-mined the natural resources, drawn arbitrary country borders, funded extremist groups, bombed civilian populations, gone to war because the extremists they originally backed got too strong, etc etc in the Middle East for generations then if all else fails, they do sanctions, which of course NEVER affect the ruling class, they merely provide the rulers a tool to point more hatred at the west - you think it's the ruling class that can't get diabetes medication due to sanctions? No of course not, it's the average person.