The debtor requested a discharge of his student loan debt for undue hardship pursuant to 11 U.S.C. § 523(a)(8), and in a previous decision, the Court denied the discharge.  The decision was appealed to the District Court for the Western District of Virginia and remanded back to the bankruptcy court.  On remand, this Court, applying Brunner v. New York State Higher Educ. Servs. Corp., 831 F.2d 395 (2d Cir. 1987), again denied discharge of the debtor's student loan.  The Court found that although the debtor was diagnosed with paranoid schizophrenia and tested HIV positive, the debtor did not put forth any evidence supporting a nexus between the debtor's health conditions and his failure to make student loan payments.  Further, the debtor has failed to show that he has made a good faith attempt to repay his student loans because, despite having an income cushion which would cover his payments under an income contingent repayment plan, the debtor has refused to consider and apply for student loan payments under the income contingent plan.