I guess I am not a good person, since if my sister or brother were doing this, I would give them H.
Anything concerning animal welfare makes me crazy, no relative of mine ( or friend) would escape my wrath over something like this.
I think your sister needs to hear the truth from someone.
Denying the necessities of life to a critter is animal abuse. Denying veterinary care to a critter is animal abuse.
In Canada, if reported, she would be charged with animal abuse for both these inactions. ;-(