Well, there's a lot of in between.

Let's face it, this lady *probably* will hesitate before reaching for a bottle again. It was an accident... but an avoidable one. LIke my T-shirt says -"“Drive Now, Talk Later: It only takes a second to
cause an eternal heartbreak.” ... and it doesn't just apply to cell phones.

So... the question is: how to help people learn from this *before* they get the reminder that "oh! your car is a deadly weapon, BE CAREFUL!!" the hard way

COmmunity service... and a big magnetic sign that says "killed cyclist reaching for a bottle" ... okay, that might be more distracting... perhaps a billboard that says it?